Active NPI
Basal Therapies, LLC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1164025375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BASAL THERAPIES, LLC
- Practice address
- 5104 Pegasus CT Ste B
Frederick, MD 21704-8323 - Phone
- (443) 776-0271
- NPI assigned
- Nov 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Ferro, MS, CCC-SLP
- Title
- Founder & Clinical Director
- Phone
- (240) 838-4346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
5104 Pegasus CT Ste B
Frederick, MD 21704-8323
Mailing address
5104 Pegasus CT Ste B
Frederick, MD 21704-8323
Phone (443) 776-0271
Other names 1
- Basal Therapies, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Basal Therapies LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Frederick, MD
- NPI 1265053243
-
- Speech-Language Pathologist
- Frederick, MD
- NPI 1902578149
-
- Professional Counselor
- Frederick, MD
- NPI 1952073199
Locations
5104 Pegasus Ct
Ste B
Frederick, MD 21704
Phone (443) 776-0271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1164025375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 PEGASUS CT STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217048323",
"telephone_number": "443-776-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 PEGASUS CT STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217048323",
"telephone_number": "443-776-0271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASAL THERAPIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "FERRO",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "FOUNDER & CLINICAL DIRECTOR",
"authorized_official_telephone_number": "240-838-4346",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Basal Therapies, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.