NPIMap

Organization Active NPI

Impact Counseling Solutions, P.a.

  • Professional Counselor
  • Catonsville, MD
National Provider Identifier
1154740843
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4676 Issued in MD
Legal business name
IMPACT COUNSELING SOLUTIONS, P.A.
Practice address
2 W Rolling Crossroads
Catonsville, MD 21228-6208
Phone
(508) 736-4797
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Mr. Bernard Gyebi-Foster, LCPC
Title
Director
Phone
(508) 736-4797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC4676 MD Primary

Addresses

Primary practice location

2 W Rolling Crossroads
Catonsville, MD 21228-6208

Mailing address

2 W Rolling Crossroads
Catonsville, MD 21228-6208
Phone (508) 736-4797

National Provider Directory

National Provider Directory

Locations

2 W Rolling Xrds
Catonsville, MD 21228
Phone (410) 747-1600

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1154740843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W ROLLING CROSSROADS",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "508-736-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING CROSSROADS",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "508-736-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COUNSELING SOLUTIONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "GYEBI-FOSTER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-736-4797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.