Active NPI
Kyla Bristol Golden, LCPC
- Counselor
- Burtonsville, MD
National Provider Identifier
1942637475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC5073
- Practice address
- 3919 National Dr Ste 200
Burtonsville, MD 20866-1184 - Phone
- (301) 476-8525
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC5073 | MD | Primary |
Addresses
Primary practice location
3919 National Dr Ste 200
Burtonsville, MD 20866-1184
Mailing address
3919 National Dr Ste 200
Burtonsville, MD 20866-1184
Phone (301) 476-8525
Other practice location 1
5457 Twin Knolls Rd.
Suite #310
Columbia, MD 21045
Phone (410) 997-0304 ext. 117
Other names 1
- Kylie Marie Bristol
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 |
|---|---|---|---|
| LC5073 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeworks of Howard County Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1447485289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1942637475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 NATIONAL DR STE 200",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661184",
"telephone_number": "301-476-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 NATIONAL DR STE 200",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661184",
"telephone_number": "301-476-8525"
}
],
"practiceLocations": [
{
"address_1": "5457 Twin Knolls Rd.",
"address_2": "Suite #310",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "21045",
"country_code": "US",
"telephone_number": "410-997-0304 x117",
"fax_number": "410-997-1397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDEN",
"first_name": "KYLA",
"middle_name": "BRISTOL",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2023-02-27",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLIE",
"last_name": "BRISTOL",
"middle_name": "MARIE",
"credential": "LCPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.