Debora Floyd, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5790 Issued in MD

Practice address

912 Sun Circle Way
Essex, MD 21221-5946

Phone

(410) 428-6032

Fax

(410) 391-4381

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeffrey Lafferman

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Essex, MD
  • NPI 1629472931
  NPD (past) Authorized official

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1841694163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SUN CIRCLE WAY",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215946",
            "telephone_number": "410-428-6032",
            "fax_number": "410-391-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SUN CIRCLE WAY",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215946",
            "telephone_number": "410-428-6032",
            "fax_number": "410-391-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "DEBORA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evision Medical Adult Day Center Corporation
• Adedayo Augustine Faponle
• Favored Angels Inc
• Michelle Lynn Ferrin, CRNP-PMH
• John Philip Fink, PD
• Takesha Franklin, RN
• Joan Veronica Franks, CRNP
• Fresenius Medical Care Essex Dundalk, LLC (Fresenius Medical Care of Middle River)
• Friends Research Institute, Inc. (Epoch Counseling Center)
• Friends Research Institute, Inc. (Epoch Counseling Center)

• Professional Counselor in Essex, MD
• Providers in Essex, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.