Khadijah Maryam Storm, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5595 Issued in MD

Practice address

1129 Business Pkwy S Ste a
Westminster, MD 21157-3004

Phone

(667) 600-2866

NPI assigned

Jun 12, 2012

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Khadijah Maryam Javaid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Storm Counseling LLC

  • Clinic/Center
  • Littlestown, PA
  • NPI 1679316335
  NPD Authorized official

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1760744072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 KINDIG RD",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173409601",
            "telephone_number": "410-868-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BUSINESS PKWY S STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573004",
            "telephone_number": "667-600-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "KHADIJAH",
        "middle_name": "MARYAM",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADIJAH",
            "last_name": "JAVAID",
            "middle_name": "MARYAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven M. Miller, M.D.,L.L.C.
• Erica Michelle Stewart, PHARM.D.
• Karen Elizabeth Stewart, PTA
• Laura Stewart, PT, DPT
• Lindsay Stone, PTA
• Kristin Ann Marie Stouffer, R.N.
• Ilana Streb, MS CCC SLP
• Janet Street, PT
• Ariel Strumpf
• Stuart D Scherr DPM PA

• Professional Counselor in Westminster, MD
• Providers in Westminster, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.