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Active NPI 1003374752 Individual Practitioner Male Practitioner

Nicholas A Etheridge , LCPC, NCC

Counselor - Professional • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Nicholas Etheridge, LCPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Baltimore, MD. Practice services are available at 5500 HARFORD RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5500 Harford Rd Ste 201

Baltimore, MD 212142290

Telephone 6677069091
Associated Practice Facility / Clinic
🏢 Enact Counseling, Llc Facility NPI 1497334189

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
589 Specialists

Practicing in Baltimore, MD (4138 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MD LC11427

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1275267312

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 24, 2021

Registered at 5500 HARFORD RD STE 201, BALTIMORE, MD 212142290 (Tel: 6677069091)

📍
Updated Business Mailing Address May 24, 2021

Registered at 5500 HARFORD RD STE 201, BALTIMORE, MD 212142290 (Tel: 6677069091)

👤
Provider Name / Credentials Updated May 24, 2021

Recorded as NICHOLAS ETHERIDGE, LCPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Counselor (License #LC11427 in MD)

NPI Profile Active March 12, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2019

Registered at 305 W CHESAPEAKE AVE STE 501, TOWSON, MD 212049936 (Tel: 4437180496)

📍
Updated Business Mailing Address March 12, 2019

Registered at 5413 GRINDON AVE, BALTIMORE, MD 212141936 (Tel: 2408182596)

👤
Provider Name / Credentials Updated March 12, 2019

Recorded as NICHOLAS ETHERIDGE, LGPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2019

Counselor (License #LGP8750 in MD)

🟢
Initial NPI Registration & Enumeration March 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003374752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2019
Last Update: May 24, 2021
Sole Proprietor: No

Mailing Address

5500 Harford Rd Ste 201

Baltimore, MD 212142290

Phone: 6677069091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.