NPIMap

Organization Active NPI

Alive and Well Counseing LLC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1487393245
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ALIVE AND WELL COUNSEING LLC
Practice address
6600 York Rd Ste 110
Baltimore, MD 21212-2023
Phone
(410) 274-8642
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Lisa Giacobbe, LCPCNPI 1467811802
Title
Owner
Phone
(410) 274-8642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6600 York Rd Ste 110
Baltimore, MD 21212-2023

Mailing address

2703 Mede CT
Fallston, MD 21047-2233
Phone (410) 274-8642

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Therapymate.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1487393245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 MEDE CT",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472233",
            "telephone_number": "410-274-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122023",
            "telephone_number": "410-274-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE AND WELL COUNSEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "GIACOBBE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-274-8642",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Therapymate.com",
            "affiliation": "N",
            "endpointDescription": "electronic medical record",
            "address_1": "6600 York Rd Ste 110",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.