Millennium Behavioral Health Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MILLENNIUM BEHAVIORAL HEALTH CONSULTING LLC

Practice address

3709 Ravenwood Ave
Baltimore, MD 21213-2021

Phone

(443) 889-0056

NPI assigned

Jul 17, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Rupert, LCSW-CNPI 1215573019

Title

0Wner/Consultant

Phone

(443) 889-0056

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Symone Rupert, LMSW

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1215573019
  NPD Authorized official

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1336874197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 RAVENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 RAVENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132021",
            "telephone_number": "443-889-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM BEHAVIORAL HEALTH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "RUPERT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "0WNER/CONSULTANT",
        "authorized_official_telephone_number": "443-889-0056",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052495576",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip R. Militello, M.D.
• Milos Miljkovic, M.D.
• Carlos Millan
• Katherine Millan, CCC-SLP
• Jennifer L Millar, P.T.
• Deborah Elizabeth Miller Young, DDS
• Chernavia Miller-Hollingsworth
• Althea I Miller-Umar, PMHNP
• Abigail Anneliese Miller
• Aiyanna Miller

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.