Active NPI
Omj & Associates LLC
- Mental Health Counselor
- Edgewood, MD
National Provider Identifier
1114428075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17112
- Legal business name
- OMJ & ASSOCIATES LLC
- Practice address
- 1308 Business Center Way Ste 101
Edgewood, MD 21040-1504 - Phone
- (443) 271-5021
- NPI assigned
- Feb 26, 2018
- Last updated
- Feb 26, 2018
- 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
- Ms. Tymeka Dawan Jones, LCSW-C
- Title
- Owner
- Phone
- (443) 271-5021
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17112 | MD | Primary |
Addresses
Primary practice location
1308 Business Center Way Ste 101
Edgewood, MD 21040-1504
Mailing address
5105 Hillburn Ave
Baltimore, MD 21206-4130
Phone (443) 271-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1308 Business Center Way
Ste 101
Edgewood, MD 21040
Phone (443) 271-5021
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Woodlawn, MD
- NPI 1053731240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519603200000",
"number": "1114428075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 HILLBURN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212064130",
"telephone_number": "443-271-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 BUSINESS CENTER WAY STE 101",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401504",
"telephone_number": "443-271-5021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMJ & ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "TYMEKA",
"authorized_official_middle_name": "DAWAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-271-5021",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "17112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.