Emmanuel Community Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMMANUEL COMMUNITY COUNSELING SERVICES LLC

Practice address

3911 Fairview Ave
Baltimore, MD 21216-1229

Phone

(410) 650-8334

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Yvette Moulton Eaddy, LCPC, LCADC

Title

Therapist/ Founder

Phone

(443) 850-7589

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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.

• Yvette Moulton, LCPC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1417218975
  NPD
• Trina Franklin, MHSD,BSW, CSC-AD

  • Case Manager/Care Coordinator
  • Windsor Mill, MD
  • NPI 1972057339
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1427413244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD",
            "address_2": "240",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162335",
            "telephone_number": "410-412-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 FAIRVIEW AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161229",
            "telephone_number": "410-650-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL COMMUNITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "EADDY",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "MOULTON",
        "authorized_official_title_or_position": "THERAPIST/ FOUNDER",
        "authorized_official_telephone_number": "443-850-7589",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yvette@edenplacehealing.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3911 Fairview Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212161229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.