Organization Active NPI

Change of Pace Counseling Services LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1205525342
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANGE OF PACE COUNSELING SERVICES LLC
Practice address
1421 S Caton Ave FL 201
Baltimore, MD 21227-1021
Phone
(443) 546-0502
NPI assigned
May 4, 2023
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Devora Burton, LCPCNPI 1710540075
Title
Psychotherapist
Phone
(410) 736-9003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1421 S Caton Ave FL 201
Baltimore, MD 21227-1021

Mailing address

9722 Groffs Mill Dr Ste 872
Owings Mills, MD 21117-6341
Phone (443) 546-0502

Other names 1

  • Burtons Counseling Service LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1421 S Caton Ave
Fl 201
Baltimore, MD 21227
Phone (443) 546-0502

10999 Red Run Blvd
Ste 235
Owings Mills, MD 21117

Practitioners & affiliated clinicians

Practitioners 1

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1205525342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR STE 872",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "443-546-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S CATON AVE FL 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271021",
            "telephone_number": "443-546-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF PACE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DEVORA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-736-9003",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burtons Counseling Service LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 12, 2025; 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.