New Life Wellness Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW LIFE WELLNESS GROUP

Practice address

110 W Mulberry St Ste 100
Baltimore, MD 21201-3606

Phone

(443) 203-8555

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Lonetta Mason, LCPCNPI 1043783947

Title

Ceo/Coo

Phone

(443) 285-9846

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lonetta Mason, LCPC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1043783947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1578197752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RED HEARTH CT",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273833",
            "telephone_number": "443-285-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MULBERRY ST STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013606",
            "telephone_number": "443-203-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Red Hearth Ct",
            "address_purpose": "LOCATION",
            "city": "Halethorpe",
            "state": "MD",
            "postal_code": "212273833",
            "country_code": "US",
            "telephone_number": "443-285-9846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LONETTA",
        "authorized_official_title_or_position": "CEO/COO",
        "authorized_official_telephone_number": "443-285-9846",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835005100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Life Recovery Center LLC
• New Life Recovery Center LLC
• New Life Recovery Center LLC
• New Life Recovery Foundation Corp
• New Life Services LLC.
• New Maryland Kidney Stone Management,LLC
• New Place of Recovery Treatment Center
• New Place of Recovery Treatment Center LLC
• New Quality of Life, Inc.
• New Restoration Ministries (New Rest Community Health)

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.