Organization Active NPI

Mental Health Counseling & Life Coaching Corporation

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1003418161
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH COUNSELING & LIFE COACHING CORPORATION
Practice address
3401 Greenway Unit 103
Baltimore, MD 21218-2601
Phone
(410) 279-5043
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ellen C Satyshur, LCSW-C
Title
Psychotherapist
Phone
(410) 279-5043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3401 Greenway Unit 103
Baltimore, MD 21218-2601

Mailing address

3401 Greenway Unit 103
Baltimore, MD 21218-2601
Phone (410) 279-5043

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1003418161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GREENWAY UNIT 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182601",
            "telephone_number": "410-279-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GREENWAY UNIT 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182601",
            "telephone_number": "410-279-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING & LIFE COACHING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SATYSHUR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-279-5043",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.