Individual provider Active NPI

Kristin Marie Miller, LCPC

  • Professional Counselor
  • Millersville, MD
National Provider Identifier
1700353976
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7950 Issued in MD
Practice address
351 Dogwood Rd
Millersville, MD 21108-1713
Phone
(410) 419-3907
NPI assigned
Oct 25, 2018
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 0701013838 VA
Professional Counselor 101YP2500X LC7950 MD Primary

Addresses

Primary practice location

351 Dogwood Rd
Millersville, MD 21108-1713

Mailing address

351 Dogwood Rd
Millersville, MD 21108-1713
Phone (410) 419-3907

Other names 1

  • Kristin Marie Gavigan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003633 MD Practitioner - Mental Health Counselor 0547606592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Health, LLCGroup PAC ID 3476777947, 62 clinicians

Practice addresses (Care Compare)

1114 Benfield Blvd
Suite G
Millersville, MD 21108-2589
Phone (410) 780-5203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC Current Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Feb 29, 2024 Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Feb 29, 2024 Accepting new patients

Locations

5720 Executive Dr
Ste 100105
Catonsville, MD 21228
Phone (443) 423-1656

1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320

8967 Yellow Brick Rd
Rosedale, MD 21237
Phone (410) 780-4320

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1700353976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DOGWOOD RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081713",
            "telephone_number": "410-419-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DOGWOOD RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081713",
            "telephone_number": "410-419-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013838",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GAVIGAN",
            "middle_name": "MARIE",
            "credential": "LGPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.