David'S Loft Clinical Programs

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2650 Issued in MD

Legal business name

DAVID'S LOFT CLINICAL PROGRAMS

Practice address

2641 Maryland Avenue
Baltimore, MD 21218

Phone

(410) 800-4226

Fax

(410) 387-7637

NPI assigned

Feb 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David H. Thompson Jr.

Title

Ceo

Phone

(410) 800-4226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1306119086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 MARYLAND AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "410-800-4226",
            "fax_number": "410-387-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 MARYLAND AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-800-4226",
            "fax_number": "410-387-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID'S LOFT CLINICAL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-11",
        "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": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-800-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908601301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• 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.