Active NPI
Bathsheba Gray
- Professional Counselor
- Rosedale, MD
National Provider Identifier
1972052850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5973
- Practice address
- 8967 Yellow Brick Rd
Rosedale, MD 21237-2303 - Phone
- (410) 780-5203
- NPI assigned
- Oct 3, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC5973 | MD | Primary |
Addresses
Primary practice location
8967 Yellow Brick Rd
Rosedale, MD 21237-2303
Mailing address
33 Valley Bottom Rd
Aberdeen, MD 21001-4413
Phone (443) 466-1484
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 |
|---|---|---|---|
| LC5973 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace Within Psychotherapy | Professional | Current | Accepting new patients |
Locations
5850 Waterloo Rd
Columbia, MD 21045
Phone (443) 412-5656
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.
-
- Professional Counselor
- Columbia, MD
- NPI 1548834898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1972052850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 VALLEY BOTTOM RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210014413",
"telephone_number": "443-466-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8967 YELLOW BRICK RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212372303",
"telephone_number": "410-780-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BATHSHEBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.