Active NPI
Amber Conklin, LGPC
- Counselor
- Bel Air, MD
National Provider Identifier
1912784489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP14306
- Practice address
- 221 Maitland St
Bel Air, MD 21014-3939 - Phone
- (443) 356-1452
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP14306 | MD | Primary |
| Mental Health Counselor | 101YM0800X | LGP14306 | MD |
Addresses
Primary practice location
221 Maitland St
Bel Air, MD 21014-3939
Mailing address
1100 Old Mountain Rd N
Joppa, MD 21085-1612
Phone (443) 356-1452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14306 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1912784489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLD MOUNTAIN RD N",
"city": "JOPPA",
"state": "MD",
"postal_code": "210851612",
"telephone_number": "443-356-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAITLAND ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143939",
"telephone_number": "443-356-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "AMBER",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP14306",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP14306",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
- Comfort Care Medical Equipment, Inc
- Comfort Grove Care (Comfort Grove Care LLC)
- Compassionate Primary Care LLC
- Comprehensive Rehab Consultants PLLC
- Donna Confair, OT/L
- Julieann Mergerian Connelly, D.C.
- Lisa Marie Connolly-Bailey, LCSW-C
- Jill T Connolly, LCPC
- John Keegan Connors, LGPC
- Patrick Alan Connors, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.