Brenda H Kijesky, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM680 Issued in MD

Practice address

11350 McCormick Ep 3 Rd Ste LL4
Hunt Valley, MD 21031-8916

Phone

(410) 927-5462

NPI assigned

Jul 5, 2018

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• Jon Hershfield, MFT, Inc.

  • Marriage & Family Therapist
  • Hunt Valley, MD
  • NPI 1417483652
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1851887616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK EP 3 RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318916",
            "telephone_number": "410-927-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK EP 3 RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318916",
            "telephone_number": "410-927-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJESKY",
        "first_name": "BRENDA",
        "middle_name": "H",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Kellner
• Kelly Vahey LLC
• Courtney Ann Kelly, OTR/L
• Caitlin Kennedy, LCPC
• Raveena Khanna, MD
• Kaitlyn Kilby
• Jada Kirby
• Danielle Kirksey
• Lyndsey Klein
• Rachel Kline

• Marriage & Family Therapist in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.