NPIMap

Organization Active NPI

Starburst Counseling & Wellness

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1609501048
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STARBURST COUNSELING & WELLNESS
Practice address
16 Francis St # 20045
Annapolis, MD 21401-1772
Phone
(443) 819-0989
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Wyvonne WilliamsNPI 1548831829
Title
Mental Health Counselor
Phone
(444) 819-0989

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16 Francis St # 20045
Annapolis, MD 21401-1772

Mailing address

PO Box 2995
#20045
Annapolis, MD 21401

Other identifiers 1

IdentifierTypeStateIssuer
1548831829OtherNPI

Other names 1

  • Helping Hands Counseling & Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

National Provider Directory

National Provider Directory

Locations

16 Francis St
#20045
Annapolis, MD 21401
Phone (443) 819-0989

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1609501048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2995",
            "address_2": "#20045",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FRANCIS ST # 20045",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011772",
            "telephone_number": "443-819-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBURST COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WYVONNE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "444-819-0989"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548831829",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "16 Francis St # 20045",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214011772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Helping Hands Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.