NPIMap

Organization Active NPI

Tri Nue Changing Lives

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1194531483
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TRI NUE CHANGING LIVES
Practice address
6210 Reisterstown Rd
Baltimore, MD 21215-3425
Phone
(443) 301-2389
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Levena Offer, LCADC
Title
Ceo
Phone
(443) 301-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

6210 Reisterstown Rd
Baltimore, MD 21215-3425

Mailing address

7747 Spencer Rd
Glen Burnie, MD 21060-8241
Phone (443) 301-2389

National Provider Directory

National Provider Directory
Tax ID family
Tri Nue Changing Lives11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1194531483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7747 SPENCER RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608241",
            "telephone_number": "443-301-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153425",
            "telephone_number": "443-301-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI NUE CHANGING LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "OFFER",
        "authorized_official_first_name": "LEVENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-301-2389",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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 Dec 10, 2024; 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.