NPIMap

Organization Active NPI

Native American Lifelines, Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1104105329
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
904244 Issued in MD
Legal business name
NATIVE AMERICAN LIFELINES, INC.
Practice address
106 Clay St
Baltimore, MD 21201-3501
Phone
(410) 837-2258
Fax
(410) 837-2692
NPI assigned
Aug 4, 2011
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIVE AMERICAN LIFELINESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Dustin Richardson, LCPCNPI 1073052445
Title
Clinical Director
Phone
(410) 934-0636

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
Community/Behavioral Health Agency 251S00000X 904244 MD Primary

Addresses

Primary practice location

106 Clay St
Baltimore, MD 21201-3501

Mailing address

1 E Franklin St Ste 200
Baltimore, MD 21202-2239
Phone (410) 837-2258

Other names 1

  • LifeLines Foundation, Inc. Former legal business name

National Provider Directory

National Provider Directory
Part of
Native American Lifelines Inc

Locations

1 E Franklin St
Ste 200
Baltimore, MD 21202

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1104105329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E FRANKLIN ST STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022239",
            "telephone_number": "410-837-2258",
            "fax_number": "410-837-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013501",
            "telephone_number": "410-837-2258",
            "fax_number": "410-837-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN LIFELINES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE AMERICAN LIFELINES",
        "enumeration_date": "2011-08-04",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-934-0636",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "904244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLines Foundation, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LifeLines Foundation, Inc.",
            "code": "4",
            "type": "Former Legal Business 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 Feb 13, 2020; 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.