Organization Active NPI

Firefly Counseling Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1508459207
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FIREFLY COUNSELING COLLECTIVE
Practice address
4326 Falls Rd
Baltimore, MD 21211-1222
Phone
(937) 681-3475
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Gwendolyn Sara RossNPI 1790212249
Title
Owner
Phone
(937) 681-3475

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4326 Falls Rd
Baltimore, MD 21211-1222

Mailing address

9613 Harford Road
Suite C #1103
Baltimore, MD 21234
Phone (937) 681-3475

National Provider Directory

National Provider Directory

Locations

9613 Harford Rd
Ste C
Parkville, MD 21234
Phone (410) 914-8615

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": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1508459207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 HARFORD ROAD",
            "address_2": "SUITE C #1103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "937-681-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111222",
            "telephone_number": "937-681-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY COUNSELING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-681-3475"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 15, 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.