Addis Consulting Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

D17162 Issued in MD

Legal business name

ADDIS CONSULTING INC.

Doing business as

Fresh Start Comprehensive Center

Practice address

11 E Mount Royal Ave
Baltimore, MD 21202-2714

Phone

(443) 671-1414

Fax

(443) 671-1420

NPI assigned

Mar 10, 2015

Organization subpart

Yes

Parent organization

FRESH START COMPREHENSIVE CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Addisu Mengesha

Title

Ceo/ President

Phone

(301) 704-4001

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Comprehensive Center Doing business as

Tax ID family

Addis Consulting Inc2 organizations share this tax ID, including this one

Part of

Addis Consulting Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Addis Consulting Inc.

  dba Fresh Start Comprehensive Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ellicott City, MD
  • NPI 1124557871
  NPD tax ID

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1427441880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MOUNT ROYAL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022614",
            "telephone_number": "443-671-1414",
            "fax_number": "443-671-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MOUNT ROYAL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022714",
            "telephone_number": "443-671-1414",
            "fax_number": "443-671-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8492 Baltimore National Pike",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210433370",
            "country_code": "US",
            "telephone_number": "443-671-1414",
            "fax_number": "443-671-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADDIS CONSULTING INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESH START COMPREHENSIVE CENTER",
        "enumeration_date": "2015-03-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "ADDISU",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "301-704-4001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "D17162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Comprehensive Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Kafei Addai, MD
• Addiction Treatment of Maryland
• Addiction Treatment of Maryland LLC
• Addictions Counseling Service of Maryland
• Addis Consulting Inc.
• Jennifer Addis, PMHNP-BC
• Jessica Addis, DPT
• Devona N Addison
• Franklin J Addison
• Jason Hart Addison, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.