Active NPI
David's Loft Clinical Programs
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
National Provider Identifier
1285175273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- DAVID'S LOFT CLINICAL PROGRAMS
- Practice address
- 2641 Maryland Ave
Baltimore, MD 21218-4518 - Phone
- (410) 800-4226
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Henry Thompson Jr., LCPC
- Title
- Ceo
- Phone
- (410) 800-4226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2641 Maryland Ave
Baltimore, MD 21218-4518
Mailing address
2641 Maryland Ave
Baltimore, MD 21218-4518
Phone (410) 800-4226
Other practice location 1
2502 Maryland Ave
1st Floor
Baltimore, MD 21218-4510
Phone (410) 235-3257
National Provider Directory
National Provider DirectoryLocations
2502 Maryland Ave
Ste 1
Baltimore, MD 21218
Phone (410) 235-3257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1285175273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184518",
"telephone_number": "410-800-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2641 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184518",
"telephone_number": "410-800-4226"
}
],
"practiceLocations": [
{
"address_1": "2502 Maryland Ave",
"address_2": "1st Floor",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212184510",
"country_code": "US",
"telephone_number": "410-235-3257",
"fax_number": "410-946-6596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID'S LOFT CLINICAL PROGRAMS",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-800-4226",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Stefan David, M.D.
- Yvonne David
- David's Loft Center for Outpatient Substance Use Treatment
- David's Loft Clinical Program
- David's Loft Clinical Programs (David's Loft Center for Outpatient Substance Use)
- David's Loft Clinical Programs
- David's Loft Clinical Programs
- David's Loft Clinical Programs
- Mary Monisa Davidge, COTA
- Trenton Davidheiser, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.