Tasha Nate Allen, LCPC
Individual provider Active NPI Professional Counselor · Baltimore, MD
NPI 1003374133 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1003374133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP9095 (MD)
- Practice address
- 1 E Chase St Ste 1128
Baltimore, MD 21202-2565 - Phone
- (443) 355-3992
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC10960 | MD | MD | Professional Counselor |
| LGP9095 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birthstone Wellness | Professional | Current |
Accepting new patients |
Locations
1 E Chase St
Ste 1128
Baltimore, MD 21202
Phone (410) 305-9093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP9095 | MD | Yes |
| Professional Counselor | 101YP2500X | LC10960 | MD |
Addresses
Primary practice location
1 E Chase St Ste 1128
Baltimore, MD 21202-2565
Mailing address
1 E Chase St Ste 1128
Baltimore, MD 21202-2565
Phone (443) 355-3992
Other practice location 1
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Phone (443) 438-6742
Other practice location 2
6198 Radecke Ave
Baltimore, MD 21206-2932
Phone (144) 335-5399
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
Other providers in Baltimore, MD
- Samantha Adeline Allen
- Samuel Dane Allen
- Sean Paul Allen
- Shada Michelle Allen
- Shyasia Allen
- Tracy Michelle Allen
- Trinity Allen
- Vincent Lee Allen
- Michael Edward Allender
- Sydney Michele Allender
All providers in Baltimore, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.