NPIMap

Organization Active NPI

Created for Greater Health Systems

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1306472964
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CREATED FOR GREATER HEALTH SYSTEMS
Practice address
1508 N Caroline St
Baltimore, MD 21213-2804
Phone
(443) 315-5007
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Lakia Thompson, LCSW-CNPI 1942750799
Title
Ceo
Phone
(443) 315-5007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1508 N Caroline St
Baltimore, MD 21213-2804

Mailing address

5411 Old Frederick Rd Ste 9
Baltimore, MD 21229-2126
Phone (443) 315-5007

National Provider Directory

National Provider Directory
Tax ID family
Created for Greater Health Systems3 organizations share this tax ID, including this one
Part of
Created for Greater Health Systems

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1306472964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 9",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-315-5007",
            "fax_number": "443-251-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132804",
            "telephone_number": "443-315-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATED FOR GREATER HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LAKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-315-5007",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 16, 2020; 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.