Individual provider Active NPI

Kathryn Marcus, LGPC

  • Professional Counselor
  • Randallstown, MD
National Provider Identifier
1760122931
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15775 Issued in MD
Practice address
3823 Brownhill Rd
Randallstown, MD 21133-4607
Phone
(410) 297-7715
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP11035 MD
Professional Counselor 101YP2500X LC15775 MD Primary

Addresses

Primary practice location

3823 Brownhill Rd
Randallstown, MD 21133-4607

Mailing address

3823 Brownhill Rd
Randallstown, MD 21133-4607
Phone (410) 297-7715

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
I20241213001515 MD Practitioner - Mental Health Counselor 0446786404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care Chesapeake LLCGroup PAC ID 0042578171, 9 clinicians

Practice addresses (Care Compare)

120 Langley Rd N
Glen Burnie, MD 21060-6578
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11035MDMDMental Health Counselor
LC15775MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Mental Health CurrentSince Jun 1, 2026 Accepting new patients
Safe Harbor Behavioral Care Chesapeake LLC Professional CurrentSince Dec 1, 2024 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste U5
Annapolis, MD 21401

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

120 Langley Rd N
Glen Burnie, MD 21060
Phone (410) 760-7100

Organizations & group practices 2

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1760122931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 BROWNHILL RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334607",
            "telephone_number": "410-297-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 BROWNHILL RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334607",
            "telephone_number": "410-297-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "KATHRYN",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11035",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.