Organization Active NPI

The Regeneration Project

  • Counselor
  • Baltimore, MD
National Provider Identifier
1508978123
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10046 Issued in MD
Legal business name
THE REGENERATION PROJECT
Practice address
1 N Charles St Ste 2400
Baltimore, MD 21201-3762
Phone
(443) 413-5886
Fax
(443) 378-7531
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Mr. Roddrick Stokes III
Title
Director
Phone
(410) 254-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 10046 MD Primary

Addresses

Primary practice location

1 N Charles St Ste 2400
Baltimore, MD 21201-3762

Mailing address

1 N Charles St Ste 2400
Baltimore, MD 21201-3762
Phone (443) 413-5886

Other identifiers 1

IdentifierTypeStateIssuer
409690800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Regeneration Project LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1 N Charles St
Ste 2400
Baltimore, MD 21201
Phone (443) 413-5886

5301 Harford Rd
Baltimore, MD 21214

5301 Harford Rd
Ste 2
Baltimore, MD 21214

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1508978123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 2400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013762",
            "telephone_number": "443-413-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CHARLES ST STE 2400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013762",
            "telephone_number": "443-413-5886",
            "fax_number": "443-378-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGENERATION PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "RODDRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-254-6175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "10046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409690800",
            "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 Jun 30, 2023; 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.