Organization Active NPI

La Reine Health Care Systems, LLC

  • Mental Health Counselor
  • Rosedale, MD
National Provider Identifier
1396378006
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LA REINE HEALTH CARE SYSTEMS, LLC
Practice address
6263 Kenwood Ave
Rosedale, MD 21237-2020
Phone
(443) 558-6011
Fax
(443) 687-7940
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Veronica Adenike Brown, BACHELOR'S DEGREE
Title
Owner
Phone
(443) 558-6011

Specialties & licenses 1

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

Addresses

Primary practice location

6263 Kenwood Ave
Rosedale, MD 21237-2020

Mailing address

6263 Kenwood Ave
Rosedale, MD 21237-2020
Phone (443) 558-6011

Other identifiers 1

IdentifierTypeStateIssuer
442206600MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1396378006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 KENWOOD AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372020",
            "telephone_number": "443-558-6011",
            "fax_number": "443-687-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 KENWOOD AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372020",
            "telephone_number": "443-558-6011",
            "fax_number": "443-687-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA REINE HEALTH CARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ADENIKE BROWN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-558-6011",
        "authorized_official_credential": "BACHELOR'S DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442206600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.