Organization Active NPI

Simply Living Blessed, LLC

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1386025161
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15546 Issued in MD
Legal business name
SIMPLY LIVING BLESSED, LLC
Practice address
9921 Reisterstown Rd
Ste 1D
Owings Mills, MD 21117-3900
Phone
(410) 581-5057
Fax
(410) 581-5058
NPI assigned
Jun 17, 2015
Last updated
Jun 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Sheila Bryant, LCSW-CNPI 1104158716
Title
Ceo/Therapist
Phone
(443) 255-5408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15546 MD Primary
Clinical Social Worker 1041C0700X 15546 MD

Addresses

Primary practice location

9921 Reisterstown Rd
Ste 1D
Owings Mills, MD 21117-3900

Mailing address

604 Shirley Manor Rd
Reisterstown, MD 21136-2319
Phone (443) 255-5408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1386025161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SHIRLEY MANOR RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362319",
            "telephone_number": "443-255-5408",
            "fax_number": "410-581-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 REISTERSTOWN RD",
            "address_2": "STE 1D",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173900",
            "telephone_number": "410-581-5057",
            "fax_number": "410-581-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY LIVING BLESSED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "443-255-5408",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "15546",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.