Active NPI
Elijah Daniel Prince
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1114863685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4502 Schenley Rd Ste 100a
Baltimore, MD 21210-2524 - Phone
- (667) 354-1201
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MD | Primary |
Addresses
Primary practice location
4502 Schenley Rd Ste 100a
Baltimore, MD 21210-2524
Mailing address
6100 Westchester Park Dr Apt L5
College Park, MD 20740-2844
Phone (240) 507-6141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1114863685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 WESTCHESTER PARK DR APT L5",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402844",
"telephone_number": "240-507-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 SCHENLEY RD STE 100A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102524",
"telephone_number": "667-354-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "ELIJAH",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 27, 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.