Organization Active NPI

Release and Govern Therapeutic Services, LLC

  • Mental Health Counselor
  • Elkridge, MD
National Provider Identifier
1124751193
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RELEASE AND GOVERN THERAPEUTIC SERVICES, LLC
Practice address
6755 Business Pkwy Ste 309
Elkridge, MD 21075-6740
Phone
(443) 308-3618
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Authorized official

Name
Lorie-Ann Brown, LCPCNPI 1245900414
Title
Owner
Phone
(443) 308-3618

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6755 Business Pkwy Ste 309
Elkridge, MD 21075-6740

Mailing address

6755 Business Pkwy Ste 309
Elkridge, MD 21075-6740
Phone (443) 308-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124004351 MD Part B Supplier - Clinic/Group Practice 4183077266 Receives reassigned benefits from 1 practitioner
Practice locations: Elkridge, MD

National Provider Directory

National Provider Directory

Locations

6755 Business Pkwy
Ste 309
Elkridge, MD 21075
Phone (443) 308-3618

Practitioners & affiliated clinicians

Practitioners 4

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702771200000",
    "number": "1124751193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 309",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756740",
            "telephone_number": "443-308-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 309",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756740",
            "telephone_number": "443-308-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELEASE AND GOVERN THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LORIE-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-308-3618",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.

Verify at the official NPI Registry.