Individual provider Active NPI

Elizabeth Joan Allen

  • Art Therapist
  • Baltimore, MD
National Provider Identifier
1699493155
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
ATC384 Issued in MD
Practice address
4800 Roland Ave Ste 301
Baltimore, MD 21210-2347
Phone
(301) 359-1763
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP13024 MD
Art Therapist 221700000X ATC384 MD Primary

Addresses

Primary practice location

4800 Roland Ave Ste 301
Baltimore, MD 21210-2347

Mailing address

4800 Roland Ave Ste 301
Baltimore, MD 21210-2347
Phone (301) 359-1763

Other practice location 1

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (301) 359-1763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGP13024MDMDProfessional Counselor
ATC384MDMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Pathways Counseling LLC Current Accepting new patients

Locations

4800 Roland Ave
Ste 301
Baltimore, MD 21210
Phone (410) 324-6809

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1699493155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ROLAND AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102347",
            "telephone_number": "301-359-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ROLAND AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102347",
            "telephone_number": "301-359-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Thayer Ctr Ste C",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501139",
            "country_code": "US",
            "telephone_number": "301-359-1763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13024",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.