NPIMap

Organization Active NPI

Tba Counseling Services, Inc.

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1144767229
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15284 Issued in MD
Legal business name
TBA COUNSELING SERVICES, INC.
Practice address
5099 Columbia Rd
Columbia, MD 21044-5506
Phone
(443) 345-7806
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Ms. Tanesha Rochelle Mayo, LCSW-C
Title
Owner
Phone
(443) 345-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 15284 MD Primary

Addresses

Primary practice location

5099 Columbia Rd
Columbia, MD 21044-5506

Mailing address

5099 Columbia Rd
Columbia, MD 21044-5506
Phone (443) 345-7806

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1144767229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445506",
            "telephone_number": "443-345-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5099 COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445506",
            "telephone_number": "443-345-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-345-7806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.