NPIMap

Organization Active NPI

Boundless Innovations for Holistic Living

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1063653491
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14239 Issued in MD
Legal business name
BOUNDLESS INNOVATIONS FOR HOLISTIC LIVING
Practice address
4104 Colby Rd
Pikesville, MD 21208-5305
Phone
(240) 527-1402
NPI assigned
Mar 14, 2009
Last updated
Mar 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Authorized official

Name
Monika Cope, LCSW-C
Title
Chief Operations Officer
Phone
(240) 527-1402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC2058 MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 14239 MD Primary

Addresses

Primary practice location

4104 Colby Rd
Pikesville, MD 21208-5305

Mailing address

4104 Colby Rd
Pikesville, MD 21208-5305
Phone (240) 527-1402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236988800000",
    "number": "1063653491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 COLBY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085305",
            "telephone_number": "240-527-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 COLBY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085305",
            "telephone_number": "240-527-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS INNOVATIONS FOR HOLISTIC LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "240-527-1402",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.