Blueprint Behavioral Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUEPRINT BEHAVIORAL HEALTH, LLC

Practice address

8209 Meadowood Dr
Hanover, MD 21076-1193

Phone

(240) 278-7866

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lanora Dennis, LCSW-CNPI 1497050355

Title

Ceo/Psychotherapist

Phone

(240) 278-7866

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lanora Denise Dennis

  • Clinical Social Worker
  • Hanover, MD
  • NPI 1497050355
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1023732906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 MEADOWOOD DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761193",
            "telephone_number": "240-278-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 MEADOWOOD DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761193",
            "telephone_number": "240-278-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LANORA",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "240-278-7866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lanora.dennis@blueprintbehavioralhealth.com",
            "affiliation": "N",
            "address_1": "8209 Meadowood Dr",
            "city": "Hanover",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210761193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly Bierley
• Umm-Ul-Banin Binte Tayyab, MD
• Claudia Lorry Blemard, O.D.
• Margaret Virginia Blount
• Tonia Blount
• Bertrand Boma
• David Byron Bonebreak, D.D.S. M.S.
• Marina Boutros
• Mary Elizabeth Boyer, MA, CAS
• Breaking Chains Community Services

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hanover, MD
• Providers in Hanover, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.