Savannah Kelly Blythe

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LGP14884 Issued in MD

Practice address

1122 Kenilworth Dr Ste 105
Towson, MD 21204-2141

Phone

(443) 849-4000

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birely Counseling Services, LLC

  • Professional Counselor
  • Cockeysville, MD
  • NPI 1023856721
  NPD (past)
• The Renfrew Center

  • Registered Dietitian
  • Towson, MD
  • NPI 1225496326
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1306603915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PAULA PL",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042141",
            "telephone_number": "443-849-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Galloway Ave Ste 3F",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210304956",
            "country_code": "US",
            "telephone_number": "410-292-4912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "SAVANNAH",
        "middle_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP14884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BLS Diagnostics, LLC
• BLS Diagnostics, LLC
• Tia Blue, LCSW-C
• Albert L Blumberg, MD
• Mary-Rita Elizabeth Blute, C.R.N.P.
• Ryan Boarman
• Kwadwo Boateng, MD
• Raven Boatwright
• Sherie Bober-Rubin
• Debra Ann Boblooch, LCPC, LCPAT

• Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.