Carolyn Marie Buresh, M.S., L.C.P.C.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

LC4954 Issued in MD

Practice address

4550 Centennial LN
Ellicott City, MD 21042-6274

Phone

(800) 491-5369

Fax

(301) 774-3678

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Carolyn Marie Forde Former name

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centrepointe Counseling IncGroup PAC ID 8628021664, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Ashton, MD
  • NPI 1528014966
  Medicare reassignment Care Compare group NPD
• Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Ellicott City, MD
  • NPI 1326429648
  NPD (past)
• Coram Deo Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Shelton, WA
  • NPI 1598591497
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1811008667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610339",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CENTENNIAL LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426274",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURESH",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC4954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "LC4954",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS",
            "identifier": "269185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "FORDE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terra Marisa Bufkin, LCSW-C
• Robert Paul Buhr II, PT
• Ashley N Buie, LMSW
• David John Bunnell, PA-C
• Amy D Burans
• Mariette Burger, MHS, OTR/L
• Joseph Scott Burgess, OTR/L
• Elizabeth Burke
• Lorri-Anne Burke, MD
• Sarah Christine Burke, LGPC

• Pastoral Counselor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Pastoral Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.