Organization Active NPI

David's Loft Clinical Programs

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1285175273
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Feb 15, 2022

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.