Active NPI
Richard Dean Reilly, LCPC
- Professional Counselor
- Cockeysville, MD
National Provider Identifier
1972680668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2216
- Practice address
- 10400 Ridgland Rd
Ste 1
Cockeysville, MD 21030-2715 - Phone
- (410) 628-6120
- Fax
- (410) 628-0953
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | LC2216 | MD | Primary |
Addresses
Primary practice location
10400 Ridgland Rd
Ste 1
Cockeysville, MD 21030-2715
Mailing address
10400 Ridgland Rd
Ste 1
Cockeysville, MD 21030-2715
Phone (410) 628-6120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410893100 | Medicaid | MD |
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 |
|---|---|---|---|
| LC2216 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1972680668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 RIDGLAND RD",
"address_2": "STE 1",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210302715",
"telephone_number": "410-628-6120",
"fax_number": "410-628-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 RIDGLAND RD",
"address_2": "STE 1",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210302715",
"telephone_number": "410-628-6120",
"fax_number": "410-628-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "RICHARD",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410893100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.