Organization Active NPI

National Cool Committee (NCC), Inc

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1235956269
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NATIONAL COOL COMMITTEE (NCC), INC
Practice address
1403 Clearstream Rd Apt C
Baltimore, MD 21221-4645
Phone
(443) 800-6036
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Mr. Robert Pittman II, BA, CPRS
Title
Ceo
Phone
(443) 800-6036

Specialties & licenses 1

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

Addresses

Primary practice location

1403 Clearstream Rd Apt C
Baltimore, MD 21221-4645

Mailing address

1403 Clearstream Rd Apt C
Baltimore, MD 21221-4645
Phone (443) 800-6036

Other practice location 1

1403 Clearstream Rd Apt C
Baltimore, MD 21221-4645
Phone (443) 800-6036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1235956269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 CLEARSTREAM RD APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212214645",
            "telephone_number": "443-800-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 CLEARSTREAM RD APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212214645",
            "telephone_number": "443-800-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Clearstream Rd Apt C",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212214645",
            "country_code": "US",
            "telephone_number": "443-800-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL COOL COMMITTEE (NCC), INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-800-6036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "BA, CPRS"
    },
    "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 Sep 23, 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.