Active NPI
Kathryn Marie Reynolds, MA, LCPC, NCC, DAPA
- Mental Health Counselor
- Ellicott City, MD
National Provider Identifier
1780807909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1277
- Practice address
- 5114 Dorsey Hall Dr
Suite a
Ellicott City, MD 21042-7878 - Phone
- (410) 689-5181
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1277 | MD | Primary |
Addresses
Primary practice location
5114 Dorsey Hall Dr
Suite a
Ellicott City, MD 21042-7878
Mailing address
5114 Dorsey Hall Dr
Suite a
Ellicott City, MD 21042-7878
Phone (410) 689-5181
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1277 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1780807909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 DORSEY HALL DR",
"address_2": "SUITE A",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427878",
"telephone_number": "410-689-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 DORSEY HALL DR",
"address_2": "SUITE A",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427878",
"telephone_number": "410-689-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "MA, LCPC, NCC, DAPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "1277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.