NPIMap

Organization Active NPI

Madison Avenue Support Services, Inc.

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1134091747
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MADISON AVENUE SUPPORT SERVICES, INC.
Practice address
2555 Madison Ave
Baltimore, MD 21217-4041
Phone
(301) 326-7320
Fax
(301) 326-7320
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Gloria Aderinokun
Title
Ceo
Phone
(301) 326-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2555 Madison Ave
Baltimore, MD 21217-4041

Mailing address

2555 Madison Ave
Baltimore, MD 21217-4041
Phone (301) 326-7320

Other practice location 1

51 Federal St Ste 401
San Francisco, CA 94107-4151
Phone (661) 405-6844

Other practice location 2

3841 Brickway Blvd # 205
Santa Rosa, CA 95403-8226
Phone (707) 856-5063

Other practice location 3

6041 Bristol Pkwy Ste 100
Culver City, CA 90230-6601
Phone (661) 483-9222

National Provider Directory

National Provider Directory

Locations

6041 Bristol Pkwy
#100
Los Angeles, CA 90230
Phone (310) 347-9676

51 Federal St
Ste 401
San Francisco, CA 94107
Phone (661) 405-6844

3841 Brickway Blvd
#205
Santa Rosa, CA 95403
Phone (707) 856-5063

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": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1134091747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 MADISON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174041",
            "telephone_number": "301-326-7320",
            "fax_number": "301-326-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 MADISON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174041",
            "telephone_number": "301-326-7320",
            "fax_number": "301-326-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Federal St Ste 401",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941074151",
            "country_code": "US",
            "telephone_number": "661-405-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3841 Brickway Blvd # 205",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954038226",
            "country_code": "US",
            "telephone_number": "707-856-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6041 Bristol Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306601",
            "country_code": "US",
            "telephone_number": "661-483-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON AVENUE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "ADERINOKUN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-326-7320"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Sep 22, 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.