Organization Active NPI

New Start Counseling Center,LLC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1588316566
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW START COUNSELING CENTER,LLC
Practice address
1045 Taylor Ave Ste 44H
Towson, MD 21286-8328
Phone
(410) 401-9799
Fax
(443) 548-2890
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Erica Jeneen Dizard, LLCNPI 1225534456
Title
Owner
Phone
(410) 401-9799

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1045 Taylor Ave Ste 44H
Towson, MD 21286-8328

Mailing address

7509 Shelowood Rd
Pikesville, MD 21208-5724
Phone (410) 401-9799

National Provider Directory

National Provider Directory

Locations

1045 Taylor Ave
Ste 44H
Towson, MD 21286
Phone (410) 401-9799

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1588316566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 SHELOWOOD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085724",
            "telephone_number": "410-401-9799",
            "fax_number": "443-548-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 44H",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868328",
            "telephone_number": "410-401-9799",
            "fax_number": "443-548-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START COUNSELING CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "DIZARD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "JENEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-401-9799",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.