NPIMap

Organization Active NPI

Stone Soup Counseling, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1023636396
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STONE SOUP COUNSELING, LLC
Practice address
2 Hamill Rd, St 332
Baltimore, MD 21210-1813
Phone
(443) 266-2270
Fax
(888) 835-6363
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Kimberly Yamas, LCSW-CNPI 1952340234
Title
Co-Owner, Coo
Phone
(443) 266-2270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2 Hamill Rd, St 332
Baltimore, MD 21210-1813

Mailing address

4407 Meadowcliff Rd.
Glen Arm, MD 21057-9535
Phone (443) 266-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923000447 MD Part B Supplier - Clinic/Group Practice 9032538137 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Baltimore, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Stone Soup Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4800 Roland Ave
Ste 300
Baltimore, MD 21210
Phone (410) 804-1738

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1023636396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MEADOWCLIFF RD.",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579535",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD, ST 332",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE SOUP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "YAMAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-OWNER, COO",
        "authorized_official_telephone_number": "443-266-2270",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-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 May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.