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NICHOLAS A ETHERIDGE LCPC, NCC
NPI 1003374752
Counselor - Professional in Baltimore, MD

Active since March 12, 2019
5500 HARFORD RD STE 201, BALTIMORE, MD 21214(667) 706-9091 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, May 20, 2021, Mar 12, 2019 (3 updates tracked since 2019).

About Nicholas A Etheridge Lcpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS A ETHERIDGE LCPC, NCC (NPI 1003374752) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC11427) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1003374752
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS A ETHERIDGECredential: LCPC, NCC
Location Address5500 HARFORD RD STE 201Baltimore, MD 21214-2290
Mailing Address5500 Harford Rd Ste 201Baltimore, MD 21214-2290 · (667) 706-9091
Phone(667) 706-9091
Sole ProprietorNo
Enumeration DateMarch 12, 2019
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1003374752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC11427
5500 HARFORD RD STE 201, Baltimore, MD 21214
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JACK THOMAS PINDER LCSW-C
Social Worker
5500 HARFORD RD STE 201
BALTIMORE, MD 21214
Baltimore City (410) 205-5301
ENACT COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5500 HARFORD RD STE 201
BALTIMORE, MD 21214
Baltimore City (667) 706-9091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Etheridge's NPI number?

The NPI number for Nicholas Etheridge is 1003374752. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Nicholas Etheridge located?

Nicholas Etheridge practices at 5500 Harford Rd Ste 201, Baltimore, MD 21214. The listed phone number is (667) 706-9091.

What is Nicholas Etheridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicholas Etheridge was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.