2ND Journey LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

2ND JOURNEY LLC

Practice address

5247 Reisterstown Rd 1St Floor
Baltimore, MD 21215-5018

Phone

(240) 475-2325

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Terri Fields

Title

Credentialing Consultant

Phone

(443) 567-6120

Specialties & licenses 3

Addresses

Tax ID family

2ND Journey LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• 2ND Journey LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1730861170
  NPD tax ID
• 2ND Journey LLC

  • Recovery Care Clinic/Center
  • Baltimore, MD
  • NPI 1821770264
  NPD tax ID

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1013695113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 REISTERSTOWN RD FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155018",
            "telephone_number": "240-475-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 REISTERSTOWN RD 1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155018",
            "telephone_number": "240-475-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "443-567-6120"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Baltimore, MD
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.