Active NPI
Thomas K Swisher
- Counselor
- Ellicott City, MD
National Provider Identifier
1699025858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC0190
- Practice address
- 2875 Bethany Lane
Ellicott City, MD 21042 - Phone
- (410) 465-8985
- NPI assigned
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC0190 | MD | Primary |
Addresses
Primary practice location
2875 Bethany Lane
Ellicott City, MD 21042
Mailing address
2875 Bethany Lane
Ellicott City, MD 21042
Phone (410) 465-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 11, 2025 through Jun 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC0190 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1699025858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 BETHANY LANE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-465-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 BETHANY LANE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-465-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISHER",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LCPC0190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.