NPIMap

Organization Active NPI

Inspiring & Empowering Change, LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1376017186
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INSPIRING & EMPOWERING CHANGE, LLC
Practice address
5209 York Road
Suite M20B Mailbox A13
Baltimore, MD 21212-4225
Phone
(410) 693-2609
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Ms. Lolamae Russell
Title
Ceo
Phone
(410) 693-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5209 York Road
Suite M20B Mailbox A13
Baltimore, MD 21212-4225

Mailing address

5209 York Road
Suite M20B Mailbox A13
Baltimore, MD 21212-4225
Phone (410) 693-2609

National Provider Directory

National Provider Directory
Tax ID family
Inspiring Empowering Change LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5209 York Rd
Ste A13
Baltimore, MD 21212
Phone (410) 693-2609

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1376017186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK ROAD",
            "address_2": "SUITE M20B MAILBOX A13",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "410-693-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK ROAD",
            "address_2": "SUITE M20B MAILBOX A13",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "410-693-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING & EMPOWERING CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LOLAMAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-693-2609",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 15, 2019; 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.