Individual provider Active NPI

Karissa Ressler, LGPC

  • Professional Counselor
  • Laurel, MD
National Provider Identifier
1861074270
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP9854 Issued in MD
Practice address
8713 Granite LN
Laurel, MD 20708-2435
Phone
(410) 961-0120
NPI assigned
Apr 25, 2021
Last updated
Apr 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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 LGP9854 MD Primary

Addresses

Primary practice location

8713 Granite LN
Laurel, MD 20708-2435

Mailing address

11 Ridge Rd
Catonsville, MD 21228-1909
Phone (213) 399-1111

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
I20260408002393 MD Practitioner - Mental Health Counselor 8022583921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Ridge Rd
Catonsville, MD 21228-1909

9627 Philadelphia Rd
Suite 160
Rosedale, MD 21237-4154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9854MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jean L Audain LLC CurrentSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1861074270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIDGE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281909",
            "telephone_number": "213-399-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 GRANITE LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082435",
            "telephone_number": "410-961-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "KARISSA",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.