Active NPI
Uri Christian Counseling, LLC
- Professional Counselor
- Glen Burnie, MD
National Provider Identifier
1194500736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- URI CHRISTIAN COUNSELING, LLC
- Practice address
- 204 Somerset Bay Dr Apt 201
Glen Burnie, MD 21061-6476 - Phone
- (410) 903-8473
- Fax
- (940) 329-4932
- NPI assigned
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elaine Marie Walace, LPC
- Title
- Professional Counselor
- Phone
- (410) 903-8473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
204 Somerset Bay Dr Apt 201
Glen Burnie, MD 21061-6476
Mailing address
204 Somerset Bay Dr Apt 201
Glen Burnie, MD 21061-6476
Phone (410) 903-8473
Other names 1
- Uri Christian Counseling, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Glen Burnie, MD
- NPI 1962084574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1194500736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 SOMERSET BAY DR APT 201",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616476",
"telephone_number": "410-903-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SOMERSET BAY DR APT 201",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616476",
"telephone_number": "410-903-8473",
"fax_number": "940-329-4932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URI CHRISTIAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "WALACE",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "410-903-8473",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uri Christian Counseling, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.