Pem House, Therapeutic Services

Primary specialty

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

Legal business name

PEM HOUSE, THERAPEUTIC SERVICES

Practice address

1 E Chase St Ste 1105
Baltimore, MD 21202-2564

Phone

(443) 531-1999

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Tyeisha Mitchell, LCSW-CNPI 1780242347

Title

Therapist

Phone

(443) 531-1999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tyeisha Nicole Mitchell

  • Social Worker
  • Baltimore, MD
  • NPI 1780242347
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1457054918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST STE 1105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022564",
            "telephone_number": "443-531-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST STE 1105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022564",
            "telephone_number": "443-531-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEM HOUSE, THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TYEISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "443-531-1999",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Pelovitz, R.N.
• Dawn Danielle Pelt
• Elissa Pelta, LCSW-C
• Eliza Pelton, LCSW-C
• Emily Pelton
• Pem Wellness LLC
• Sophia Pemberton, RN, CRNP
• Chandra Sekhar Pemmasani, M.D.
• Ivonne Marie Pena, M.D.
• Janet Carolina Pena

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, 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 26, 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.