Individual provider Active NPI

Denise Taylor

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
National Provider Identifier
1477317113
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2305141165 Issued in MD
Practice address
6730 Holabird Ave Ste 202
Dundalk, MD 21222-1700
Phone
(443) 510-3585
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2305141165 MD Primary

Addresses

Primary practice location

6730 Holabird Ave Ste 202
Dundalk, MD 21222-1700

Mailing address

6730 Holabird Ave Ste 202
Dundalk, MD 21222-1700
Phone (443) 510-3585

Other practice location 1

3413B Dundalk Ave
Dundalk, MD 21222-5921
Phone (443) 510-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305141165MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
One More Chance Recovery II LLC Addiction (Substance Use Disorder) Current Accepting new patients
Second Chance II LLC Current Accepting new patients
One More Chance Recovery II LLC Addiction (Substance Use Disorder) CurrentSince Feb 18, 2024 Accepting new patients

Locations

6730 Holabird Ave
Ste 202
Dundalk, MD 21222
Phone (410) 282-2211

3413 Dundalk Ave
#B
Dundalk, MD 21222
Phone (443) 510-3585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1477317113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 202",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-510-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 202",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-510-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413B Dundalk Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212225921",
            "country_code": "US",
            "telephone_number": "443-510-3585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DENISE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "2305141165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

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