MRS. CAROLYN MARIE BURESH (NPI# 1811008667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811008667 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN MARIE BURESH |
| Other Name | MISS CAROLYN MARIE FORDE |
| Credential | M.S., L.C.P.C. |
| Practice Address |
4550 Centennial Ln Ellicott City MD 21042-6274 |
| Mailing Address |
Po Box 339 Ashton MD 20861-0339 |
| Practice Telephone | 8004915369 |
| Practice Fax Number | 3017743678 |
| Mailing Telephone | 8004915369 |
| Mailing Fax Number | 3017743678 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
LC4954 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LCPC | LC4954 | 01 |
| NATIONAL BOARD FOR CERTIFIED COUNSELORS | 269185 | 01 |
| Street Address |
4550 CENTENNIAL LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-6274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429648 | Centrepointe Counseling, Inc. | Counselor | 4550 Centennial Ln, Ellicott City, MD 21042-6274 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518198159 | Stephanie Babb Marinelli | Counselor | 2904 Excelsior Springs Ct, Ellicott City, MD 21042-7614 | 2009-07-30 |
| 1144455841 | Barbara Ann Jaquette | Counselor | 3604 Chatham Rd, Ellicott City, MD 21042-3920 | 2009-05-25 |
| 1679041032 | Maryann Colborn | Counselor | 3570 Saint Johns Ln, Ellicott City, MD 21042-4020 | 2018-11-05 |
| 1326429648 | Centrepointe Counseling, Inc. | Counselor | 4550 Centennial Ln, Ellicott City, MD 21042-6274 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790393 | Dora Brown Durante | Counselor | 11402 Prospect Ct, Glenn Dale, MD 20769-9451 | 2020-11-02 |
| 1598304545 | Silifat Apeke Akinrinsola | Counselor | 12112 Apache Tears Cir, Laurel, MD 20708-2864 | 2019-12-21 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1740741255 | Centrepointe Counseling, Inc. | Counselor | 1201 Maple Ave, Arbutus, MD 21227-2639 | 2019-03-27 |
| 1124504253 | Carol Elizabeth Richardson | Counselor | 12803 Twinbrook Pkwy Apt 204, Rockville, MD 20851-2446 | 2018-07-11 |
| 1447766613 | Willliam Joseph Moorman | Counselor | 611 Park Ave Ste 102, Baltimore, MD 21201-4572 | 2017-12-23 |
| 1366983470 | Centrepointe Counseling, Inc | Counselor | 6510 Laurel Bowie Rd, Bowie, MD 20715-1705 | 2017-03-09 |
| 1275075962 | Mechelle Armstead-pharr | Counselor | 16325 New Hampshire Ave, Silver Spring, MD 20905-3913 | 2016-11-10 |
| 1932569670 | Alvin Powell | Counselor | 4421 Lancefield Ln, Bowie, MD 20720-3497 | 2016-02-23 |
| 1396114047 | Dean Evans | Counselor | 1006 Phillips St, Cambridge, MD 21613-2712 | 2015-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on MRS. CAROLYN MARIE BURESH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.