Individual provider Active NPI

Nicole C Barber, MA, MDIV., CAS, LCPC

  • Counselor
  • Baltimore, MD
National Provider Identifier
1710919030
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC0988 Issued in MD
Practice address
6665 Security Blvd
The Renaissance Center
Baltimore, MD 21207-4018
Phone
(410) 265-7291
Fax
(410) 265-7294
NPI assigned
Jul 7, 2006
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC0988 MD Primary

Addresses

Primary practice location

6665 Security Blvd
The Renaissance Center
Baltimore, MD 21207-4018

Mailing address

6665 Security Blvd
The Renaissance Center
Baltimore, MD 21207-4018
Phone (410) 265-7291

Other identifiers 1

IdentifierTypeStateIssuer
404292100MedicaidMD

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC0988MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
MSBC Five Star Program Inc Past Accepting new patients

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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1710919030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 SECURITY BLVD",
            "address_2": "THE RENAISSANCE CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074018",
            "telephone_number": "410-265-7291",
            "fax_number": "410-265-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 SECURITY BLVD",
            "address_2": "THE RENAISSANCE CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074018",
            "telephone_number": "410-265-7291",
            "fax_number": "410-265-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "MA, MDIV., CAS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC0988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404292100",
            "state": "MD"
        }
    ],
    "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 29, 2012; 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.