Organization Active NPI

Chance to Change Supportive Services of Maryland Inc

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1174433445
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANCE TO CHANGE SUPPORTIVE SERVICES OF MARYLAND INC
Practice address
400 E Pratt St FL 8
Baltimore, MD 21202-3180
Phone
(229) 809-0300
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Chestine Washington
Title
Owner
Phone
(229) 809-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

400 E Pratt St FL 8
Baltimore, MD 21202-3180

Mailing address

18980 Harbor Side Blvd
Montgomery, TX 77356-3224

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1174433445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 HARBOR SIDE BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PRATT ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023180",
            "telephone_number": "229-809-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO CHANGE SUPPORTIVE SERVICES OF MARYLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CHESTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-809-0300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.