NPIMap

Organization Active NPI

Harbour House, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Annapolis, MD
National Provider Identifier
1336654474
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
905693 Issued in MD
Legal business name
HARBOUR HOUSE, INC
Practice address
5 Oak CT
Annapolis, MD 21401-7017
Phone
(410) 266-3040
Fax
(443) 378-3540
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Roger Riley, LCPC
Title
Clinical Director
Phone
(410) 255-3539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 905693 MD Primary

Addresses

Primary practice location

5 Oak CT
Annapolis, MD 21401-7017

Mailing address

PO Box 3603
Baltimore, MD 21214-0603
Phone (410) 255-3539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1336654474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212140603",
            "telephone_number": "410-255-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OAK CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017017",
            "telephone_number": "410-266-3040",
            "fax_number": "443-378-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-255-3539",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "905693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.