Utopia Outreach Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LGP3337 Issued in MD

Legal business name

UTOPIA OUTREACH SERVICES

Practice address

5513 Bosworth Ave
Gwynn Oak, MD 21207-6865

Phone

(443) 996-5063

Fax

(410) 448-1636

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. NA'Imah Ferguson, CRC, NCC, LGPC

Title

Founder

Phone

(443) 996-5063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1508177874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 BOSWORTH AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076865",
            "telephone_number": "443-996-5063",
            "fax_number": "410-448-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 BOSWORTH AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076865",
            "telephone_number": "443-996-5063",
            "fax_number": "410-448-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "NA'IMAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "443-996-5063",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRC, NCC, LGPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LGP3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gwynn Oak, MD
• Providers in Gwynn Oak, 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 Jul 1, 2010; 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.