Push Counseling Baltimore

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PUSH COUNSELING BALTIMORE

Practice address

822 Guilford Ave Ste 901
Baltimore, MD 21202-3707

Phone

(410) 415-3887

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Wicks, LPC, NCC

Title

Therapist

Phone

(410) 415-3887

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1609535442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE STE 901",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE STE 901",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "410-415-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSH COUNSELING BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "410-415-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pushbaltimore.com",
            "affiliation": "N",
            "address_1": "822 Guilford Ave Ste 901",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212023707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pursuit of Wellness LLC
• Ashley Purugganan
• Koren Jenkins Purvis, M.D.
• Caroline Elizabeth Pusey, MA, CCC-SLP
• Joan Teresa Pusey, R.N.
• Gary William Pushkin, M.D.
• Luciana Blanca Pussetto, DDS
• Leana Christine Pustam, MD
• Aliaksei Pustavoitau, M.D.
• Viktoryia Pustavoitava, PA

• Adult Mental Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.