NPIMap

Organization Active NPI

Visionary Community Services

Doing business as n/a

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
National Provider Identifier
1639958507
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISIONARY COMMUNITY SERVICES
Doing business as
n/a
Practice address
7004 Security Blvd Ste 300a-17
Windsor Mill, MD 21244-2557
Phone
(410) 812-0829
NPI assigned
Sep 28, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Kourtney Hunter-Sams
Title
Owner
Phone
(410) 812-0829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7004 Security Blvd Ste 300a-17
Windsor Mill, MD 21244-2557

Mailing address

7004 Security Blvd Ste 300a-17
Windsor Mill, MD 21244-2557

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1639958507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300A-17",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300A-17",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442557",
            "telephone_number": "410-812-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "HUNTER-SAMS",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-812-0829"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.