Active NPI
Elizabeth Blumer
- Professional Counselor
- Columbia, MD
National Provider Identifier
1811082134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1265
- Practice address
- 5457 Twin Knolls Rd
Suite 310
Columbia, MD 21045-3259 - Phone
- (410) 997-0304
- Fax
- (410) 997-1397
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1265 | MD | Primary |
Addresses
Primary practice location
5457 Twin Knolls Rd
Suite 310
Columbia, MD 21045-3259
Mailing address
8404 Cotoneaster Dr
#4A
Ellicott City, MD 21043-7256
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PK1000091226 | Other | MD | APS |
| 646705-01 | Other | MD | BC/BS |
| 257244 | Other | MD | COMPSYCH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeworks of Howard County Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1447485289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811082134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 COTONEASTER DR",
"address_2": "#4A",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5457 TWIN KNOLLS RD",
"address_2": "SUITE 310",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453259",
"telephone_number": "410-997-0304",
"fax_number": "410-997-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMER",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "1265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "PK1000091226",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "646705-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "257244",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.