Organization Active NPI

Whole Family Healing Group, LLC

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1174094593
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLE FAMILY HEALING GROUP, LLC
Practice address
104 Church LN Ste 120
Pikesville, MD 21208-3786
Phone
(410) 413-6043
Fax
(410) 559-6510
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Miesha Rice, LCSW-C
Title
Clinical Social Worker/Owner
Phone
(443) 979-3295

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

104 Church LN Ste 120
Pikesville, MD 21208-3786

Mailing address

1325 Bedford Ave Unit 32405
Pikesville, MD 21282-7550
Phone (443) 979-3295

Other practice location 1

1325 Bedford Ave Unit 32405
Pikesville, MD 21282-7550
Phone (443) 979-3295

Other identifiers 4

IdentifierTypeStateIssuer
654086400MedicaidMD
1174094593OtherMDNPPES NPI 2
1598204620OtherMDNPPES NPI 1
19531OtherMDCLINICAL SOCIAL WORK LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1325 Bedford Ave
Unit 32405
Pikesville, MD 21282
Phone (443) 979-3295

3701 Old Court Rd
Ste 18
Pikesville, MD 21208
Phone (443) 353-9348

Practitioners & affiliated clinicians

Practitioners 1

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": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1174094593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BEDFORD AVE UNIT 32405",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212827550",
            "telephone_number": "443-979-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN STE 120",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "410-413-6043",
            "fax_number": "410-559-6510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Bedford Ave Unit 32405",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212827550",
            "country_code": "US",
            "telephone_number": "443-979-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE FAMILY HEALING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MIESHA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "443-979-3295",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654086400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI 2",
            "identifier": "1174094593",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI 1",
            "identifier": "1598204620",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK LICENSE NUMBER",
            "identifier": "19531",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.