NPIMap

Organization Active NPI

Tru-Integrity Wellness & Counseling Center

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1649659442
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRU-INTEGRITY WELLNESS & COUNSELING CENTER
Practice address
1900 E. Northern Pkwy
Suite T-7
Baltimore, MD 21239-2113
Phone
(443) 449-7573
Fax
(443) 449-7583
NPI assigned
May 26, 2015
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Lula Moultrie Heatley, LCSW-CNPI 1164702098
Title
Owner
Phone
(240) 273-8062

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Clinical Social Worker 1041C0700X 16665 MD

Addresses

Primary practice location

1900 E. Northern Pkwy
Suite T-7
Baltimore, MD 21239-2113

Mailing address

1900 E. Northern Pkwy
Suite T-7
Baltimore, MD 21239-2113
Phone (443) 449-7573

Other identifiers 1

IdentifierTypeStateIssuer
045579200MedicaidMD

Other names 1

  • Guiding Hands LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210707000539 MD Part B Supplier - Clinic/Group Practice 6305248816 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
Ste T7
Baltimore, MD 21239
Phone (443) 449-7573

Practitioners & affiliated clinicians

Practitioners 3

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1649659442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E. NORTHERN PKWY",
            "address_2": "SUITE T-7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-449-7573",
            "fax_number": "443-449-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E. NORTHERN PKWY",
            "address_2": "SUITE T-7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-449-7573",
            "fax_number": "443-449-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU-INTEGRITY WELLNESS & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "HEATLEY",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "MOULTRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-273-8062",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045579200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guiding Hands LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.