Lauren Gaile Kline

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP13640 Issued in MD

Practice address

21 Byte CT Ste G
Frederick, MD 21702-8724

Phone

(301) 846-7872

Fax

(301) 846-7973

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Change Therapy Now LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1780121392
  Medicare reassignment NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1891484945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872",
            "fax_number": "301-846-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872",
            "fax_number": "301-846-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "LAUREN",
        "middle_name": "GAILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kismet Ketamine Psychotherapy & Wellness
• Jessica Kissane
• Kathleen M Kissane, RN, CRNP, MSN
• Mary R. Klein, LCSW-C
• Erich Kleinschmidt, MSW
• Mark Kline
• Susanna Klingler
• Jane Ellen Klink, PT
• Michael Knable, D.O.
• Charles Ira Knapp, DDS, MA, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.