Organization Active NPI

Victoria Stith, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
National Provider Identifier
1649767708
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC6502 Issued in MD
Legal business name
VICTORIA STITH, LLC
Practice address
658 Kenilworth Dr Ste 206
Towson, MD 21204-2334
Phone
(410) 241-1238
NPI assigned
Apr 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Authorized official

Name
Victoria Kai Stith, LCPCNPI 1659752608
Title
Owner, Psychotherapist
Phone
(410) 241-1238

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X LC6502 MD Primary

Addresses

Primary practice location

658 Kenilworth Dr Ste 206
Towson, MD 21204-2334

Mailing address

205 N Tyrone Rd
Baltimore, MD 21212-1124
Phone (410) 241-1238

Other identifiers 1

IdentifierTypeStateIssuer
1659752608OtherMDNPI NUMBER FOR INDIVIDUAL

Other names 1

  • Free State OCD & Anxiety Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

658 Kenilworth Dr
Ste 206
Towson, MD 21204
Phone (410) 828-3585

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": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1649767708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N TYRONE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121124",
            "telephone_number": "410-241-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR STE 206",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042334",
            "telephone_number": "410-241-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA STITH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "STITH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "KAI",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-241-1238",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC6502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR INDIVIDUAL",
            "identifier": "1659752608",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free State OCD & Anxiety Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2018; 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.