Active NPI
NSNS Reentry Palliative Outpatient Care, LLC.
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
National Provider Identifier
1083479919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- NSNS REENTRY PALLIATIVE OUTPATIENT CARE, LLC.
- Practice address
- 2025 Maryland Ave
Baltimore, MD 21218-5918 - Phone
- (443) 202-3127
- NPI assigned
- Feb 20, 2024
- 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
- Janette Gonzalez-Graham, BS, GPC
- Title
- Director
- Phone
- (443) 202-3127
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
2025 Maryland Ave
Baltimore, MD 21218-5918
Mailing address
2025 Maryland Ave
Baltimore, MD 21218-5918
Phone (443) 202-3127
National Provider Directory
National Provider DirectoryLocations
2025 Maryland Ave
Baltimore, MD 21218
Phone (443) 202-3127
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Baltimore, MD
- NPI 1053171074
-
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
- NPI 1053176735
-
- Clinical Social Worker
- Pikesville, MD
- NPI 1013356856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1083479919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185918",
"telephone_number": "443-202-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185918",
"telephone_number": "443-202-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSNS REENTRY PALLIATIVE OUTPATIENT CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "GONZALEZ-GRAHAM",
"authorized_official_first_name": "JANETTE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "443-202-3127",
"authorized_official_credential": "BS, GPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.