Charm City Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHARM CITY COUNSELING, LLC

Practice address

1400 Front Ave Ste 305
Lutherville, MD 21093-5364

Phone

(410) 292-1115

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Candace Ellrich, LCPCNPI 1477848174

Title

Owner

Phone

(410) 292-1115

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Domayer Ellrich, LCPC

  • Professional Counselor
  • Lutherville, MD
  • NPI 1477848174
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1427640705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "410-292-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "410-292-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "ELLRICH",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-292-1115",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Front Ave Ste 305",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210935364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sam Leung-Sang Chan, LCSW-C
• Ellenor Chance, CRNP
• Candace Irene Chandler, M.D.
• David A Chang, M.D.
• Ariana M Chao, PHD, CRNP, FNP-BC
• Zachary Lee Chattler, D.P.M.
• Vinay Chaudhry, M.D.
• Karen Tapawan Chen, M.D.
• Cheryl Kacher
• Chesapeake Open MRI L L C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.