Active NPI
Sloan Michelle Dillman Henry, LCPC
- Professional Counselor
- Glen Burnie, MD
National Provider Identifier
1700664034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13988
- Practice address
- 898 Airport Park Rd
Glen Burnie, MD 21061-2558 - Phone
- (410) 870-7036
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC13988 | MD | Primary |
Addresses
Primary practice location
898 Airport Park Rd
Glen Burnie, MD 21061-2558
Mailing address
515 Boissevain Ave
Norfolk, VA 23507-2107
Phone (864) 903-9119
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC13988 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1700664034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BOISSEVAIN AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235072107",
"telephone_number": "864-903-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 AIRPORT PARK RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612558",
"telephone_number": "410-870-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN HENRY",
"first_name": "SLOAN",
"middle_name": "MICHELLE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.