Enact Counseling, LLC

Primary specialty

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

Legal business name

ENACT COUNSELING, LLC

Practice address

5500 Harford Rd Ste 201
Baltimore, MD 21214-2290

Phone

(667) 706-9091

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas EtheridgeNPI 1003374752

Title

Therapist, Owner

Phone

(667) 706-9091

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Nicholas A Etheridge, LCPC, NCC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1003374752
  NPD Authorized official
• Octavia Baryayebwa

  • Professional Counselor
  • Baltimore, MD
  • NPI 1447004577
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1497334189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142290",
            "telephone_number": "667-706-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142290",
            "telephone_number": "667-706-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENACT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "667-706-9091"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.enactcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5500 Harford Rd Ste 201",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212142290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• EMS Therapy
• Anita Enadeghe
• Elizabeth Enagonio, RD, LDN
• Bryan Encarnacao
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• Lelise Endale

• 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 Apr 7, 2021; 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.