Active NPI
Vlasova LLC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1063200673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VLASOVA LLC
- Practice address
- 12023 Eastern Ave
Baltimore, MD 21220-1301 - Phone
- (443) 676-1982
- NPI assigned
- Apr 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nataliya Vlasova
- Title
- Owner
- Phone
- (443) 676-1982
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
12023 Eastern Ave
Baltimore, MD 21220-1301
Mailing address
12023 Eastern Ave
Baltimore, MD 21220-1301
Phone (443) 676-1982
Other names 1
- Vlasova LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1063200673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12023 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212201301",
"telephone_number": "443-676-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12023 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212201301",
"telephone_number": "443-676-1982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VLASOVA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "VLASOVA",
"authorized_official_first_name": "NATALIYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-676-1982",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vlasova LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.