NPIMap

Organization Active NPI

Real Life Counseling LLC

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1205282449
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1174 Issued in MD
Legal business name
REAL LIFE COUNSELING LLC
Practice address
21-25 E Ellendale Street
Suite B, 2ND Floor
Bel Air, MD 21014-2924
Phone
(443) 655-7164
NPI assigned
May 6, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Ms. Linda Louise Smith, LCPCNPI 1417065202
Title
Clinical Supervisor
Phone
(443) 655-7164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1174 MD Primary

Addresses

Primary practice location

21-25 E Ellendale Street
Suite B, 2ND Floor
Bel Air, MD 21014-2924

Mailing address

PO Box 837
Forest Hill, MD 21050-0837
Phone (443) 655-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129000494 MD Part B Supplier - Clinic/Group Practice 4789964289 Receives reassigned benefits from 7 practitioners
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

23 E Ellendale St
Ste B
Bel Air, MD 21014
Phone (410) 638-5168

37 E Lee St
Bel Air, MD 21014
Phone (410) 638-5168

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1205282449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500837",
            "telephone_number": "443-655-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21-25 E ELLENDALE STREET",
            "address_2": "SUITE B, 2ND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142924",
            "telephone_number": "443-655-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "443-655-7164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.