NPIMap

Organization Active NPI

Harvesting Hope Youth and Families Services

Doing business as Harvesting Hope Youth and Family Wellness

  • Professional Counselor
  • Cambridge, MD
National Provider Identifier
1285189415
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5086 Issued in MD
Legal business name
HARVESTING HOPE YOUTH AND FAMILIES SERVICES
Doing business as
Harvesting Hope Youth and Family Wellness
Practice address
204 Cedar St
Ste 102
Cambridge, MD 21613-2395
Phone
(443) 351-4846
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Omeaka Jackson, LCPCNPI 1528329117
Title
Owner/Psychotherapist
Phone
(443) 351-4846

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
Professional Counselor 101YP2500X LC5086 MD Primary

Addresses

Primary practice location

204 Cedar St
Ste 102
Cambridge, MD 21613-2395

Mailing address

204 Cedar St
Ste 102
Cambridge, MD 21613-2395
Phone (443) 351-4846

Other identifiers 1

IdentifierTypeStateIssuer
0723835MedicaidMD

Other names 1

  • Harvesting Hope Youth and Family Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harvesting Hope Youth and Families Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1285189415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CEDAR ST",
            "address_2": "STE 102",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132395",
            "telephone_number": "443-351-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CEDAR ST",
            "address_2": "STE 102",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132395",
            "telephone_number": "443-351-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVESTING HOPE YOUTH AND FAMILIES SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OMEAKA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-351-4846",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723835",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvesting Hope Youth and Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.