Active NPI
Edith Bigelow Taleb, CSC-AD
- Addiction (Substance Use Disorder) Counselor
- Dundalk, MD
National Provider Identifier
1407424013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- SC2441
- Practice address
- 207 Wise Ave
Dundalk, MD 21222 - Phone
- (888) 339-7339
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC2441 | MD | Primary |
Addresses
Primary practice location
207 Wise Ave
Dundalk, MD 21222
Mailing address
10996 4 Seasons PL
Crown Point, IN 46307
Phone (888) 339-7339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC2441 | Other | MD | CSC-AD |
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 |
|---|---|---|---|
| SC2441 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1407424013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10996 4 SEASONS PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "888-339-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 WISE AVE",
"city": "DUNDALK",
"state": "MD",
"postal_code": "21222",
"telephone_number": "888-339-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALEB",
"first_name": "EDITH",
"middle_name": "BIGELOW",
"credential": "CSC-AD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "SC2441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSC-AD",
"identifier": "SC2441",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.