Organization Active NPI

Island of Life & Wellness Counseling, Inc.

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1538597976
Registry record updated Feb 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17348 Issued in MD
Legal business name
ISLAND OF LIFE & WELLNESS COUNSELING, INC.
Practice address
8441 Belair Rd
Suite 101
Baltimore, MD 21236-3025
Phone
(410) 000-0000
NPI assigned
Oct 22, 2013
Last updated
Feb 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2014

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

Authorized official

Name
Megan Miller, LCSW-CNPI 1801167606
Title
Owner/Director
Phone
(410) 000-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17348 MD Primary

Addresses

Primary practice location

8441 Belair Rd
Suite 101
Baltimore, MD 21236-3025

Mailing address

8441 Belair Rd
Suite 101
Baltimore, MD 21236-3025

National Provider Directory

National Provider Directory

Locations

8441 Belair Rd
Ste 101
Baltimore, MD 21236

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": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391212800000",
    "number": "1538597976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 BELAIR RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 BELAIR RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363025",
            "telephone_number": "410-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OF LIFE & WELLNESS COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-02-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "410-000-0000",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17348",
            "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 1, 2014; 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.