Individual provider Active NPI

Kierrah Flipping, LCPC, LPC, NCC

  • Mental Health Counselor
  • Clinton, MD
National Provider Identifier
1821467309
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7252 Issued in MD
Practice address
9015 Woodyard Rd Ste 206
Clinton, MD 20735
Phone
(240) 419-6909
NPI assigned
Sep 15, 2015
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC14917 DC
Mental Health Counselor 101YM0800X LC7252 MD Primary

Addresses

Primary practice location

9015 Woodyard Rd Ste 206
Clinton, MD 20735

Mailing address

9015 Woodyard Rd Ste 206
Clinton, MD 20735-4209
Phone (202) 476-0659

Other practice location 1

4475 Regency Pl Ste 205
White Plains, MD 20695-3074
Phone (240) 427-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC14917DCMDMental Health Counselor
LC7252MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Empowerment, LLC Mental Health Current Accepting new patients

Locations

9015 Woodyard Rd
Ste 206
Clinton, MD 20735
Phone (240) 419-6909

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1821467309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 206",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "202-476-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 206",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "240-419-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 Regency Pl Ste 205",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953074",
            "country_code": "US",
            "telephone_number": "240-427-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLIPPING",
        "first_name": "KIERRAH",
        "credential": "LCPC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14917",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.