Urban Trauma Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

URBAN TRAUMA COUNSELING, LLC

Practice address

715 Ingleside Ave
Catonsville, MD 21228-1726

Phone

(410) 960-2496

NPI assigned

Dec 11, 2019

Last updated

Dec 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shinelle Oglesby, LCPCNPI 1750865796

Title

Owner/Therapist

Phone

(410) 960-2496

Specialties & licenses 1

Addresses

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.

• Shinelle Oglesby, LCPC

  • Mental Health Counselor
  • Windsor Mill, MD
  • NPI 1750865796
  NPD Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1265070015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 ESSEX RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212074617",
            "telephone_number": "410-960-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 INGLESIDE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281726",
            "telephone_number": "410-960-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN TRAUMA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "SHINELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "410-960-2496",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Therapy Services Inc
• University of Maryland Physicians P.a.
• University of Maryland Physicians, P.a. (University of Maryland Medical Group)
• Ryan Anthony Landingin Untalan, PT, DPT
• Uplift Patient Care
• January Page Raven Utermahlen, LCSWC
• Thomas Douglas Vaeth, PT
• Mayank Vallabh Vaghasiya, PHARMD
• Vikram Vaka, M.D.
• Robert Charles Vanden Bosche, MD

• Mental Health Counselor in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.