Active NPI
Reflections Counseling & Consulting
- Community/Behavioral Health Agency
- Gwynn Oak, MD
National Provider Identifier
1568932176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- REFLECTIONS COUNSELING & CONSULTING
- Practice address
- 6901 Brightway
Unit F
Gwynn Oak, MD 21207 - Phone
- (410) 984-4878
- NPI assigned
- Nov 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Patrice Mack, LCPC, CSOTP, CCTP
- Title
- Owner/ Director
- Phone
- (410) 984-4878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6901 Brightway
Unit F
Gwynn Oak, MD 21207
Mailing address
6101 Liberty Rd Unit 11804
Gwynn Oak, MD 21207-8425
National Provider Directory
National Provider DirectoryLocations
6101 Liberty Rd
Unit 11804
Gwynn Oak, MD 21207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543276800000",
"number": "1568932176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 LIBERTY RD UNIT 11804",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212078425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 BRIGHTWAY",
"address_2": "UNIT F",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "21207",
"telephone_number": "410-984-4878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECTIONS COUNSELING & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "PATRICE",
"authorized_official_title_or_position": "OWNER/ DIRECTOR",
"authorized_official_telephone_number": "410-984-4878",
"authorized_official_credential": "LCPC, CSOTP, CCTP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gwynn Oak, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.