NPIMap

Organization Active NPI

MD Counseling Services LLC

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1194388751
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MD COUNSELING SERVICES LLC
Practice address
1307 Saint Paul St Ste 2
Baltimore, MD 21202-4870
Phone
(443) 779-9901
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Dr. Lisa Michele Gresham-Wilson, PHD, LMSW, LCPC
Title
Ceo
Phone
(443) 779-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1307 Saint Paul St Ste 2
Baltimore, MD 21202-4870

Mailing address

1307 Saint Paul St Ste 2
Baltimore, MD 21202-4870
Phone (443) 779-9901

National Provider Directory

National Provider Directory
Tax ID family
MD Counseling Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1307 Saint Paul St
Ste 2
Baltimore, MD 21202
Phone (443) 779-9901

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1194388751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SAINT PAUL ST STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024870",
            "telephone_number": "443-779-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 SAINT PAUL ST STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024870",
            "telephone_number": "443-779-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "GRESHAM-WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-779-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMSW, LCPC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "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 Apr 19, 2019; 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.