Organization Active NPI

National Pike Health Center, Inc

  • Mental Health Counselor
  • Dundalk, MD
National Provider Identifier
1508881384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10041, 10075 Issued in MD
Legal business name
NATIONAL PIKE HEALTH CENTER, INC
Practice address
23 Shipping PL
Dundalk, MD 21222-4318
Phone
(410) 282-5401
NPI assigned
Jul 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Johnson Oludare Owoyemi, MS
Title
President
Phone
(410) 744-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 10041, 10075 MD Primary

Addresses

Primary practice location

23 Shipping PL
Dundalk, MD 21222-4318

Mailing address

23 Shipping PL
Dundalk, MD 21222-4318
Phone (410) 282-5401

Other identifiers 1

IdentifierTypeStateIssuer
781302300, 781204300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
National Pike Health Center Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

23 Shipping Pl
Dundalk, MD 21222
Phone (410) 282-5401

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508881384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHIPPING PL",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224318",
            "telephone_number": "410-282-5401",
            "fax_number": "410-282-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SHIPPING PL",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224318",
            "telephone_number": "410-282-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PIKE HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OWOYEMI",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "OLUDARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-744-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "10041, 10075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781302300, 781204300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.