Kara Gioioso Keryakos, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9578 Issued in MD

Practice address

102 W Pennsylvania Ave Ste 400
Towson, MD 21204-4526

Phone

(410) 598-8871

NPI assigned

Dec 5, 2019

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

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Broken Open Counseling LLC

  • Professional Counselor
  • Towson, MD
  • NPI 1306483532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1780221952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-598-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-598-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERYAKOS",
        "first_name": "KARA",
        "middle_name": "GIOIOSO",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Tilles, O.D., P.a.
• Jaclyn J Kenney
• Jamia Kent
• Consuela Kenyon
• Abby Marie Keo, M.S. CCC - SLP
• Rita Kesselman
• Dan Kessler, M.D.
• Ketamine Treatment Centers of Princeton, LLC
• Loren Ketelsen, LCSW-C
• Corey Ray Ketring, MA, CCC-SLP

• Mental Health Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.