Organization Active NPI

Inspiring Change Mental Health Services, LLC.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1497365654
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Practice address
4654 York Rd Ste 1a
Baltimore, MD 21212-4726
Phone
(410) 258-6714
NPI assigned
Aug 3, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Miss Shaquanna Foster-Dotson, LCSW-CNPI 1770997520
Title
President/ Founder
Phone
(410) 258-6714

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Recovery Care Clinic/Center 261QR0800X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4654 York Rd Ste 1a
Baltimore, MD 21212-4726

Mailing address

4654 York Rd Ste 1a
Baltimore, MD 21212-4726
Phone (410) 258-6714

Other practice location 1

4654 York Rd Ste 1
Baltimore, MD 21212-4726
Phone (410) 258-6714

Other identifiers 1

IdentifierTypeStateIssuer
677502100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Inspiring Change Mental Health Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1497365654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 YORK RD STE 1A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124726",
            "telephone_number": "410-258-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 YORK RD STE 1A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124726",
            "telephone_number": "410-258-6714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4654 York Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212124726",
            "country_code": "US",
            "telephone_number": "410-258-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER-DOTSON",
        "authorized_official_first_name": "SHAQUANNA",
        "authorized_official_title_or_position": "PRESIDENT/ FOUNDER",
        "authorized_official_telephone_number": "410-258-6714",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677502100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "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 Apr 30, 2026; 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.