Ivywood Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19466 Issued in MD

Legal business name

IVYWOOD COUNSELING SERVICES

Practice address

4502 Schenley Rd # 100a
Baltimore, MD 21210-2524

Phone

(410) 657-2982

NPI assigned

May 21, 2018

Last updated

Sep 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lora K Wolz, LCSW-C

Title

Owner

Phone

(410) 657-2982

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lora Speake, LCSW-C

  • Social Worker
  • Baltimore, MD
  • NPI 1255739736
  NPD

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1487145991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 SCHENLEY RD # 100A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102524",
            "telephone_number": "410-657-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 SCHENLEY RD # 100A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102524",
            "telephone_number": "410-657-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Schenley Rd # 100A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212102524",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Boston St Apt 605",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212313223",
            "country_code": "US",
            "telephone_number": "301-325-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVYWOOD COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "WOLZ",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-657-2982",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "19466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory-Hi Health Services Inc
• Kelsey S Ivusich, AGACNP-BC
• Autumn Skye Ivy
• Kelsey Ivy, M.A., C.A.S.
• Ivymount Clinic LLC
• Kate Lynn Cho Iwamoto, M.D.
• Iwc Services Maryland LLC
• Roseline Iweanya
• Obinneamaka Lesley Iweh Popoko, FNP
• Ruth Iwelumo

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.