Street Angel Project Peer Recovery Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

STREET ANGEL PROJECT PEER RECOVERY SERVICES

Practice address

92 W Washington St
Annapolis, MD 21401-2432

Phone

(443) 949-9545

NPI assigned

Jul 25, 2021

Organization subpart

No

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

Authorized official

Name

Shirley L Gordon, CSAC,CMHT, CPRS,

Title

Owner

Phone

(443) 949-9545

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1437822665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLAY ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012402",
            "telephone_number": "443-591-2434",
            "fax_number": "240-336-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W WASHINGTON ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012432",
            "telephone_number": "443-949-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET ANGEL PROJECT PEER RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-949-9545",
        "authorized_official_credential": "CSAC,CMHT, CPRS,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Stratemeyer
• Robyn Beth Straub, LCSW-C
• Cindy Strauss, PT
• Carl William Strawberry, M.D.
• Stephanie Ruth Streb, DNP, MHS, PMHNP-BC
• Parise A. Street, PA-C
• Melissa K Strege, PA-C
• Gillian Streit, MS, LAT, ATC
• Strides Therapy LLC
• Strides Therapy LLC

• Addiction (Substance Use Disorder) Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.