NPIMap

Organization Active NPI

Rafiki Consortium, LLC

  • Professional Counselor
  • Woodstock, MD
National Provider Identifier
1104144468
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
391 Issued in DC
Legal business name
RAFIKI CONSORTIUM, LLC
Practice address
9985 Village Green Dr
Woodstock, MD 21163-1155
Phone
(410) 521-5818
Fax
(410) 521-4504
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. William Henry Gregory Jr., PH.D.NPI 1497070452
Title
Director
Phone
(410) 521-5818

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 391 DC Primary

Addresses

Primary practice location

9985 Village Green Dr
Woodstock, MD 21163-1155

Mailing address

9985 Village Green Dr
Woodstock, MD 21163-1155
Phone (410) 521-5818

National Provider Directory

National Provider Directory

Practitioners & 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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1104144468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9985 VILLAGE GREEN DR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631155",
            "telephone_number": "410-521-5818",
            "fax_number": "410-521-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9985 VILLAGE GREEN DR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631155",
            "telephone_number": "410-521-5818",
            "fax_number": "410-521-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIKI CONSORTIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-521-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.