Organization Active NPI

Counselors in the Community Association Co.

  • Case Manager/Care Coordinator
  • Baltimore, MD
National Provider Identifier
1114709409
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COUNSELORS IN THE COMMUNITY ASSOCIATION CO.
Practice address
145 W Ostend St
Baltimore, MD 21230-3764
Phone
(866) 500-0133
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mrs. Jacqueline Harris Stevenson, MSIOPNPI 1184491953
Title
Executive Director
Phone
(866) 500-0133

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

145 W Ostend St
Baltimore, MD 21230-3764

Mailing address

145 W Ostend St Ste 600
Baltimore, MD 21230-3774
Phone (866) 500-0133

Other practice location 1

1106 S Main St
Duncanville, TX 75137-3202
Phone (866) 500-0133 ext. 708

Other names 1

  • CITCA Other name

National Provider Directory

National Provider Directory

Locations

1106 S Main St
Duncanville, TX 75137
Phone 8665000133 ext. 708

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": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1114709409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303774",
            "telephone_number": "866-500-0133",
            "fax_number": "866-500-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303764",
            "telephone_number": "866-500-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 S Main St",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751373202",
            "country_code": "US",
            "telephone_number": "866-500-0133 x708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELORS IN THE COMMUNITY ASSOCIATION CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "866-500-0133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSIOP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITCA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CITCA",
            "code": "5",
            "type": "Other 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 Dec 11, 2023; 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.