Organization Active NPI

Alternative Counseling & Wellness Center, LLC

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1164689576
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1004 Issued in MD
Legal business name
ALTERNATIVE COUNSELING & WELLNESS CENTER, LLC
Practice address
200 E Joppa Rd Ste 407
Towson, MD 21286-3109
Phone
(410) 828-0101
Fax
(410) 828-6262
NPI assigned
May 22, 2008
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Ms. Victoria S Shequine, LCPCNPI 1700810769
Title
Owner
Phone
(410) 433-3737

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 Counselor 101YM0800X LC1004 MD Primary

Addresses

Primary practice location

200 E Joppa Rd Ste 407
Towson, MD 21286-3109

Mailing address

200 E Joppa Rd Ste 407
Towson, MD 21286-3109
Phone (410) 828-0101

Other identifiers 1

IdentifierTypeStateIssuer
441156100MedicaidMD

National Provider Directory

National Provider Directory

Locations

1212 E Churchville Rd
Ste 300
Bel Air, MD 21014

5136 Dorsey Hall Dr
Fl 2
Ellicott City, MD 21042

8630 Fenton St
Ste 920
Silver Spring, MD 20910
Phone (240) 338-7818

200 E Joppa Rd
Ste 400
Towson, MD 21286
Phone (443) 300-6905

200 E Joppa Rd
Ste 407
Towson, MD 21286
Phone (410) 828-6262

28 Allegheny Ave
Ste 510
Towson, MD 21204
Phone (410) 504-3872

Practitioners & affiliated clinicians

Practitioners 11

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1164689576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863109",
            "telephone_number": "410-828-0101",
            "fax_number": "410-828-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863109",
            "telephone_number": "410-828-0101",
            "fax_number": "410-828-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COUNSELING & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SHEQUINE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-433-3737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441156100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.