NPIMap

Organization Active NPI

Life Revisions Counseling, LLC

  • Mental Health Counselor
  • Catonsville, MD
National Provider Identifier
1154871309
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7219 Issued in MD
Legal business name
LIFE REVISIONS COUNSELING, LLC
Practice address
583 Frederick Rd
Suite 6B
Catonsville, MD 21228-4697
Phone
(410) 870-5615
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Mrs. Olivia Lillian BaylorNPI 1467859173
Title
Therapist
Phone
(410) 870-5615

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LC7219 MD Primary

Addresses

Primary practice location

583 Frederick Rd
Suite 6B
Catonsville, MD 21228-4697

Mailing address

212 Shady Nook CT
Catonsville, MD 21228-3544
Phone (410) 870-5615

National Provider Directory

National Provider Directory

Locations

583 Frederick Rd
Ste 6B
Catonsville, MD 21228
Phone (410) 870-5615

Practitioners & affiliated clinicians

Practitioners 2

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1154871309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SHADY NOOK CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283544",
            "telephone_number": "410-870-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD",
            "address_2": "SUITE 6B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "410-870-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REVISIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "BAYLOR",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "410-870-5615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7219",
            "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 Jan 8, 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.