Organization Active NPI

Rosetta Family Pastoral Behavioral Rehabilitation

Doing business as Rosetta Family Pastoral Behavioral Rehabilitation Services

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1578320941
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ROSETTA FAMILY PASTORAL BEHAVIORAL REHABILITATION
Doing business as
Rosetta Family Pastoral Behavioral Rehabilitation Services
Practice address
1421 E Baltimore St FL 3
Baltimore, MD 21231-1403
Phone
(443) 559-7058
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Rosetta McAllister, LCADCNPI 1710748355
Title
Ceo
Phone
(443) 559-7058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU
Psychiatric Residential Treatment Facility 323P00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1421 E Baltimore St FL 3
Baltimore, MD 21231-1403

Mailing address

6114 Edmondson Ave
Catonsville, MD 21228-1825
Phone (443) 559-7058

Other names 1

  • Rosetta Family Pastoral Behavioral Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

1421 E Baltimore St
Fl 3
Baltimore, MD 21231
Phone (443) 559-7058

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1578320941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281825",
            "telephone_number": "443-559-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E BALTIMORE ST FL 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311403",
            "telephone_number": "443-559-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSETTA FAMILY PASTORAL BEHAVIORAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-559-7058",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosetta Family Pastoral Behavioral Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2024; 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.