Destiny J T Hilliard-Thomas, LCPC
Counselor, Professional in Baltimore, MD. Individual provider (NPI-1).
NPI number1124603766
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1124603766
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Destiny J T Hilliard-Thomas
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2021
- Certification date
- Feb 27, 2025
- Last updated
- Mar 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC13621 | MD | Yes |
| 101YM0800X | Counselor, Mental Health | LC13621 | MD | |
| 101Y00000X | Counselor | LC13621 | MD |
Practice location
711 W 40th St Ste 206Baltimore, MD 21211-2108
Phone 410-842-6055
Mailing address
12358 Bonfire DrReisterstown, MD 21136-1712
Phone 732-533-3806
Other practice locations
12358 Bonfire Dr
Reisterstown, MD 21136-1712
Reisterstown, MD 21136-1712
Phone 732-533-3806
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