Provider Demographics
NPI:1265994131
Name:IRELAND, CORTNEY ASHLEY (LCPC)
Entity type:Individual
Prefix:MS
First Name:CORTNEY
Middle Name:ASHLEY
Last Name:IRELAND
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:MS
Other - First Name:CORTNEY
Other - Middle Name:ASHLEY
Other - Last Name:IRELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2015 EMMORTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6180
Mailing Address - Country:US
Mailing Address - Phone:410-800-2169
Mailing Address - Fax:410-777-8742
Practice Address - Street 1:5820 YORK RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3620
Practice Address - Country:US
Practice Address - Phone:410-800-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0011420101YM0800X, 101YP2500X
MDLC11390101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid