Individual provider Active NPI

Carol Zoanne McGinnis, PHD, LCPC

  • Pastoral Counselor
  • Phoenix, MD
National Provider Identifier
1730317017
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
LC2972 Issued in MD
Practice address
13916 Jarrettsville Pike
Phoenix, MD 21131-2040
Phone
(410) 666-8288
NPI assigned
Jun 25, 2009
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X LC2972 MD Primary

Addresses

Primary practice location

13916 Jarrettsville Pike
Phoenix, MD 21131-2040

Mailing address

11 Dalebrook Dr
Phoenix, MD 21131-2009
Phone (410) 628-7589

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC2972MDMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1730317017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DALEBROOK DR",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312009",
            "telephone_number": "410-628-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 JARRETTSVILLE PIKE",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312040",
            "telephone_number": "410-666-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "CAROL",
        "middle_name": "ZOANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC2972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.