NPIMap

Organization Active NPI

Urban Trauma Counseling Center, LLC

  • Ambulatory Care Registered Nurse
  • Windsor Mill, MD
National Provider Identifier
1407637705
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
Legal business name
URBAN TRAUMA COUNSELING CENTER, LLC
Practice address
3100 Lord Baltimore Dr Ste 110
Windsor Mill, MD 21244-5804
Phone
(410) 844-0770
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Shinelle Oglesby, LCPCNPI 1750865796
Title
Ceo/Clinical Director
Phone
(410) 844-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X NU Primary

Addresses

Primary practice location

3100 Lord Baltimore Dr Ste 110
Windsor Mill, MD 21244-5804

Mailing address

3709 Essex Rd
Pikesville, MD 21207-4617
Phone (410) 960-2496

National Provider Directory

National Provider Directory
Tax ID family
Urban Trauma Counseling Center LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1407637705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 ESSEX RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212074617",
            "telephone_number": "410-960-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 LORD BALTIMORE DR STE 110",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212445804",
            "telephone_number": "410-844-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN TRAUMA COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "SHINELLE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-844-0770",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.