Active NPI
Raymond Velencia, LGPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1346841665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC12376
- Practice address
- 1001 W Pratt St
Baltimore, MD 21223-2679 - Phone
- (443) 462-3423
- Fax
- (443) 462-3090
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA3093 | MD | |
| Professional Counselor | 101YP2500X | LC12376 | MD | Primary |
Addresses
Primary practice location
1001 W Pratt St
Baltimore, MD 21223-2679
Mailing address
1001 W Pratt St
Baltimore, MD 21223-2679
Phone (443) 462-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCA3093 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC12376 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1346841665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232679",
"telephone_number": "443-462-3423",
"fax_number": "443-462-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232679",
"telephone_number": "443-462-3423",
"fax_number": "443-462-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELENCIA",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA3093",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12376",
"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 Sep 6, 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.