Organization Active NPI

Fly Behavioral Health

  • Professional Counselor
  • Pikesville, MD
National Provider Identifier
1124804430
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FLY BEHAVIORAL HEALTH
Practice address
1325 Bedford Ave Unit 5740
Pikesville, MD 21282-7502
Phone
(443) 522-0417
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Authorized official

Name
Mrs. Nikki Smith, LCPCNPI 1780932376
Title
Manager
Phone
(443) 522-0417

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1325 Bedford Ave Unit 5740
Pikesville, MD 21282-7502

Mailing address

1325 Bedford Ave Unit 5740
Pikesville, MD 21282-7502
Phone (443) 522-0417

Other names 1

  • FLY Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

6120 Baltimore National Pike
Ste 200C
Catonsville, MD 21228
Phone (443) 636-5760

1325 Bedford Ave
Unit 5740
Pikesville, MD 21282
Phone (443) 522-0417

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1124804430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BEDFORD AVE UNIT 5740",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212827502",
            "telephone_number": "443-522-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BEDFORD AVE UNIT 5740",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212827502",
            "telephone_number": "443-522-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-522-0417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLY Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLY Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.