NPIMap

Organization Active NPI

Cultured Pearl Images, LLC

  • Community/Behavioral Health Agency
  • Columbia, MD
National Provider Identifier
1104549161
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CULTURED PEARL IMAGES, LLC
Practice address
5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone
(410) 656-9146
NPI assigned
Sep 23, 2022
Organization subpart
Yes
Parent organization
CULTURED PEARL IMAGES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Carmela Fisher, LCPCNPI 1780993279
Title
Ceo
Phone
(443) 208-4434

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 Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296

Mailing address

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone (410) 656-9146

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmelahfisher@culturedpearlimages.com Direct

National Provider Directory

National Provider Directory
Part of
Cultured Pearl Images LLC

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1104549161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "410-656-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "410-656-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURED PEARL IMAGES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULTURED PEARL IMAGES, LLC",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-208-4434",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmelahfisher@culturedpearlimages.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5457 Twin Knolls Rd Ste 300",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210453296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.