NPIMap

Organization Active NPI

Epiphany Family Services- Maryland LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1225526528
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
BH000613 Issued in MD
Legal business name
EPIPHANY FAMILY SERVICES- MARYLAND LLC
Practice address
3301 Belair Rd
2ND Floor Suite 2
Baltimore, MD 21213-1257
Phone
(443) 873-7193
Fax
(410) 630-7882
NPI assigned
Apr 23, 2018
Organization subpart
Yes
Parent organization
EPIPHANY FAMILY SERVICES- MARYLAND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Anthony Estreet, LCSW-C, LCADCNPI 1538446786
Title
Ceo/Executive Director
Phone
(443) 873-7193

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X BH000613 MD Primary

Addresses

Primary practice location

3301 Belair Rd
2ND Floor Suite 2
Baltimore, MD 21213-1257

Mailing address

3301 Belair Rd
2ND Floor Suite 2
Baltimore, MD 21213-1257
Phone (443) 873-7193

Other practice location 1

829 Brightseat Road
Landover, MD 20785
Phone (301) 368-6850

Other names 1

  • Next Step Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Family Services-MD12 organizations share this tax ID, including this one
Part of
Epiphany Family Services-MD

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1225526528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD",
            "address_2": "2ND FLOOR SUITE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131257",
            "telephone_number": "443-873-7193",
            "fax_number": "410-630-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD",
            "address_2": "2ND FLOOR SUITE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131257",
            "telephone_number": "443-873-7193",
            "fax_number": "410-630-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Brightseat Road",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "20785",
            "country_code": "US",
            "telephone_number": "301-368-6850",
            "fax_number": "410-630-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIPHANY FAMILY SERVICES- MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIPHANY FAMILY SERVICES- MARYLAND LLC",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ESTREET",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-873-7193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "BH000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.