Active NPI
Lauri H McCormack, LCPC
- Professional Counselor
- Glen Burnie, MD
National Provider Identifier
1952646598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4751
- Practice address
- 1406B Crain Hwy S
Suite 206
Glen Burnie, MD 21061-4099 - Phone
- (410) 768-6088
- Fax
- (410) 768-6444
- NPI assigned
- Dec 9, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4751 | MD | Primary |
Addresses
Primary practice location
1406B Crain Hwy S
Suite 206
Glen Burnie, MD 21061-4099
Mailing address
3428 Constellation Dr
Suite 206
Davidsonville, MD 21035-1341
Phone (443) 994-1048
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 |
|---|---|---|---|
| LC4751 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1952646598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3428 CONSTELLATION DR",
"address_2": "SUITE 206",
"city": "DAVIDSONVILLE",
"state": "MD",
"postal_code": "210351341",
"telephone_number": "443-994-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406B CRAIN HWY S",
"address_2": "SUITE 206",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614099",
"telephone_number": "410-768-6088",
"fax_number": "410-768-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "LAURI",
"middle_name": "H",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-09",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.