Active NPI
Towanda Street, LCPC
- Professional Counselor
- Woodlawn, MD
National Provider Identifier
1740520360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6665 Security Boulevard
Woodlawn, MD 21207 - Phone
- (410) 265-7291
- Fax
- (410) 265-7294
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
6665 Security Boulevard
Woodlawn, MD 21207
Mailing address
6665 Security Boulevard
Woodlawn, MD 21207
Phone (410) 265-7291
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSBC Five Star Program Inc | Professional | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1740520360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6665 SECURITY BOULEVARD",
"city": "WOODLAWN",
"state": "MD",
"postal_code": "21207",
"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 BOULEVARD",
"city": "WOODLAWN",
"state": "MD",
"postal_code": "21207",
"telephone_number": "410-265-7291",
"fax_number": "410-265-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "TOWANDA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodlawn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.