NPIMap

Organization Active NPI

Carnation and Arrow Therapeutic Services, LC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1154196277
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARNATION AND ARROW THERAPEUTIC SERVICES, LC
Practice address
800 W 36TH St
Baltimore, MD 21211-2537
Phone
(240) 593-9096
NPI assigned
Nov 20, 2023
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Carley Kelcee Agueda-Divens, LCSW-CNPI 1073225397
Title
Owner
Phone
(443) 540-8280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

800 W 36TH St
Baltimore, MD 21211-2537

Mailing address

800 W 36TH St
Baltimore, MD 21211-2537
Phone (443) 540-8280

National Provider Directory

National Provider Directory

Locations

800 W 36th St
Baltimore, MD 21211
Phone (240) 593-9096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1154196277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112537",
            "telephone_number": "443-540-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112537",
            "telephone_number": "240-593-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNATION AND ARROW THERAPEUTIC SERVICES, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "AGUEDA-DIVENS",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_middle_name": "KELCEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-540-8280",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Apr 25, 2024; 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.