NPIMap

Organization Active NPI

Institutes for Behavior Resources, Inc.

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1437564044
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INSTITUTES FOR BEHAVIOR RESOURCES, INC.
Practice address
2104 Maryland Avenue
Baltimore, MD 21218-5612
Phone
(410) 752-6080
Fax
(410) 889-5810
NPI assigned
Jun 23, 2014
Organization subpart
Yes
Parent organization
INSTITUTES FOR BEHAVIOR RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Ms. Vickie I. Walters, LCSW-C
Title
Executive Director
Phone
(410) 752-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MD Primary

Addresses

Primary practice location

2104 Maryland Avenue
Baltimore, MD 21218-5612

Mailing address

2104 Maryland Avenue
Baltimore, MD 21218-5612
Phone (410) 752-6080

Other identifiers 1

IdentifierTypeStateIssuer
236101900MedicaidMD

Other names 1

  • REACH Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Institutes for Behavior Resources Inc4 organizations share this tax ID, including this one
Part of
Institutes for Behavior Resources Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1437564044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 MARYLAND AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185612",
            "telephone_number": "410-752-6080",
            "fax_number": "410-889-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 MARYLAND AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185612",
            "telephone_number": "410-752-6080",
            "fax_number": "410-889-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTES FOR BEHAVIOR RESOURCES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTES FOR BEHAVIOR RESOURCES, INC.",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-752-6080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236101900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACH Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.