Individual provider Active NPI

Katharine Jean Phelps, LCPC, LPC

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1851726061
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
336 S Main St Ste 1C
Bel Air, MD 21014-3978
Phone
(410) 836-0820
NPI assigned
Sep 6, 2013
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

336 S Main St Ste 1C
Bel Air, MD 21014-3978

Mailing address

336 S Main St Ste 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240313002727 MD Practitioner - Mental Health Counselor 1759727688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
State University of New York at Buffalo School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oic Counseling Services, Inc.Group PAC ID 3375718950, 8 clinicians

Practice addresses (Care Compare)

336 S Main St
Suite 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oic Counseling Services, Inc. CurrentSince Jan 17, 2024 Accepting new patients

Locations

336 S Main St
Ste 1C
Bel Air, MD 21014
Phone (410) 836-0820

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1851726061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 1C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "410-836-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 1C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "410-836-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "KATHARINE",
        "middle_name": "JEAN",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.