Active NPI
Erica St. Bernard
- Marriage & Family Therapist
- Bowie, MD
National Provider Identifier
1932594769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM628
- Practice address
- 4329 Northview Dr
Bowie, MD 20716-2601 - Phone
- (410) 858-0057
- NPI assigned
- Mar 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM628 | MD | Primary |
Addresses
Primary practice location
4329 Northview Dr
Bowie, MD 20716-2601
Mailing address
14625 Baltimore Ave
#884
Laurel, MD 20707-4902
Phone (410) 858-0057
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 |
|---|---|---|---|
| LCM628 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1932594769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14625 BALTIMORE AVE",
"address_2": "#884",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074902",
"telephone_number": "410-858-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4329 NORTHVIEW DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207162601",
"telephone_number": "410-858-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. BERNARD",
"first_name": "ERICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.