NPIMap

Organization Active NPI

Generation Counseling Center LLC

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1295022366
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16619 Issued in MD
Legal business name
GENERATION COUNSELING CENTER LLC
Practice address
43 Gwynnswood Rd
Owings Mills, MD 21117-1776
Phone
(443) 739-8732
Fax
(443) 394-2647
NPI assigned
Jul 8, 2011
Organization subpart
Yes
Parent organization
GENERATION COUNSELING CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Ms. Nadia Surin, LCSW-C
Title
Program Director
Phone
(443) 739-8732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP1600X 14786 MD
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 16619 MD Primary

Addresses

Primary practice location

43 Gwynnswood Rd
Owings Mills, MD 21117-1776

Mailing address

43 Gwynnswood Rd
Owings Mills, MD 21117-1776
Phone (443) 739-8732

Other names 1

  • Life Lyne Christian Counseling LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Generation Counseling Center LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1295022366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GWYNNSWOOD RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171776",
            "telephone_number": "443-739-8732",
            "fax_number": "443-394-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GWYNNSWOOD RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171776",
            "telephone_number": "443-739-8732",
            "fax_number": "443-394-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATION COUNSELING CENTER LLC",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "SURIN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-739-8732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "14786",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Lyne Christian Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.