NPIMap

Organization Active NPI

MD Counseling Services LLC

  • Rehabilitation Psychologist
  • Baltimore, MD
National Provider Identifier
1376196659
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
MD COUNSELING SERVICES LLC
Practice address
924 E Baltimore St Ste 204-206
Baltimore, MD 21202-4736
Phone
(443) 779-9901
Fax
(443) 885-9482
NPI assigned
Jul 16, 2019
Organization subpart
Yes
Parent organization
MDCOUNSELING SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Lisa Michele Wilson, PHD, LMSW, LCPC
Title
Ceo
Phone
(443) 779-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X Primary

Addresses

Primary practice location

924 E Baltimore St Ste 204-206
Baltimore, MD 21202-4736

Mailing address

924 E Baltimore St Ste 204-206
Baltimore, MD 21202-4736
Phone (443) 779-9901

National Provider Directory

National Provider Directory
Tax ID family
MD Counseling Services LLC6 organizations share this tax ID, including this one
Part of
MD Counseling Services LLC

Other organizations with this tax ID 5

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

Locations

924 E Baltimore St
Ste 204206
Baltimore, MD 21202
Phone (443) 779-9901

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1376196659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 E BALTIMORE ST STE 204-206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024736",
            "telephone_number": "443-779-9901",
            "fax_number": "443-885-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E BALTIMORE ST STE 204-206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024736",
            "telephone_number": "443-779-9901",
            "fax_number": "443-885-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDCOUNSELING SERVICES LLC",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-779-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMSW, LCPC"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "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 Jul 16, 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.