Individual provider Active NPI

Brenda Santosus, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1194175174
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5728 Issued in MD
Practice address
2401 Liberty Heights Ave
Baltimore, MD 21215-8019
Phone
(410) 233-1088
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC5728 MD Primary

Addresses

Primary practice location

2401 Liberty Heights Ave
Baltimore, MD 21215-8019

Mailing address

2401 Liberty Heights Ave
Baltimore, MD 21215-8019
Phone (410) 233-1088

Other identifiers 1

IdentifierTypeStateIssuer
LC5728OtherMDMARYLAND BOARD OF PROFESSIONAL COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002096 MD Practitioner - Mental Health Counselor 5890132534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians

Practice addresses (Care Compare)

212 W Main St
Number 303
Salisbury, MD 21801-4838
Phone (410) 800-2169

5820 York Rd
Suite 201
Baltimore, MD 21212-3620
Phone (443) 560-6632

7658 Belair Rd
Nottingham, MD 21236-4020
Phone (410) 800-2169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Wellness, LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1194175174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-233-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-233-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSUS",
        "first_name": "BRENDA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PROFESSIONAL COUNSELORS",
            "identifier": "LC5728",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.