Organization Active NPI

Key Therapeutic Solutions, LLC

  • Community/Behavioral Health Agency
  • Gwynn Oak, MD
National Provider Identifier
1487057709
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC4469 Issued in MD
Legal business name
KEY THERAPEUTIC SOLUTIONS, LLC
Practice address
2115 Gwynn Oak Ave
Gwynn Oak, MD 21207-6004
Phone
(443) 504-7427
Fax
(443) 378-8791
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Christopher M Adams, LCPC
Title
Director/Therapist
Phone
(443) 504-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC4469 MD Primary

Addresses

Primary practice location

2115 Gwynn Oak Ave
Gwynn Oak, MD 21207-6004

Mailing address

2834 Meredith CT
Abingdon, MD 21009-1849
Phone (443) 504-7427

Other identifiers 1

IdentifierTypeStateIssuer
058033300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1487057709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 MEREDITH CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091849",
            "telephone_number": "443-504-7427",
            "fax_number": "443-378-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 GWYNN OAK AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076004",
            "telephone_number": "443-504-7427",
            "fax_number": "443-378-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "443-504-7427",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC4469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058033300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.