Organization Active NPI

Center for Actualized Counseling, LLC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1316690712
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CENTER FOR ACTUALIZED COUNSELING, LLC
Practice address
317 Overbrook Rd
Baltimore, MD 21212-1802
Phone
(410) 940-9329
NPI assigned
Jan 27, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Bradford Christopher Drewniak, LCPCNPI 1699292821
Title
Owner/Primary Psychotherapist
Phone
(410) 618-1641

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

317 Overbrook Rd
Baltimore, MD 21212-1802

Mailing address

31 Old Solomons Island Rd Ste 201
Annapolis, MD 21401-3889
Phone (410) 618-1641

National Provider Directory

National Provider Directory

Locations

31 Old Solomons Island Rd
Ste 201
Annapolis, MD 21401
Phone (410) 940-9329

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1316690712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD SOLOMONS ISLAND RD STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013889",
            "telephone_number": "410-618-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OVERBROOK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121802",
            "telephone_number": "410-940-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ACTUALIZED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DREWNIAK",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRIMARY PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-618-1641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 31, 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.