Organization Active NPI

Divine Mercy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1104434158
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVINE MERCY, INC.
Practice address
1721 Pennsylvania Ave
Suites 201, 203-206
Baltimore, MD 21217-3119
Phone
(410) 685-2830
NPI assigned
Jul 15, 2020
Organization subpart
Yes
Parent organization
T00447068As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Mercy Johnson
Title
Clinical Social Worker
Phone
(410) 685-2830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1721 Pennsylvania Ave
Suites 201, 203-206
Baltimore, MD 21217-3119

Mailing address

1721 Pennsylvania Ave
Baltimore, MD 21217-3119
Phone (410) 685-2830

Other names 1

  • Beacon of Hope Wellness Center Doing business as

National Provider Directory

National Provider Directory
Part of
Divine Mercy Inc

Locations

828 Guilford Ave
Baltimore, MD 21202
Phone (410) 276-2861

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": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1104434158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173119",
            "telephone_number": "410-685-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PENNSYLVANIA AVE",
            "address_2": "SUITES 201, 203-206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173119",
            "telephone_number": "410-685-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T00447068",
        "enumeration_date": "2020-07-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-685-2830"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon of Hope Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2026; 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.