NPIMap

Organization Active NPI

MB Therapeutic Center, LLC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1144838889
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MB THERAPEUTIC CENTER, LLC
Practice address
218 E Lexington St Ste 700
Baltimore, MD 21202-3518
Phone
(704) 340-2027
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Rolanda Gabriel, LCPCNPI 1902080641
Title
Founder and Ceo
Phone
(704) 340-2027

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

218 E Lexington St Ste 700
Baltimore, MD 21202-3518

Mailing address

6614 Accrington CT
Charlotte, NC 28227-1021
Phone (704) 340-2027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgabriel@bewelltherapy.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

218 E Lexington St
Ste 700
Baltimore, MD 21202
Phone (704) 340-2027

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": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1144838889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 ACCRINGTON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271021",
            "telephone_number": "704-340-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E LEXINGTON ST STE 700",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023518",
            "telephone_number": "704-340-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB THERAPEUTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "704-340-2027",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgabriel@bewelltherapy.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "218 E Lexington St Ste 700",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212023518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2020; 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.