Tyrone Fleming, LICENSE CLINICIAN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCA455 Issued in MD

Practice address

1630 Riverwood Rd
Baltimore, MD 21221-2916

Phone

(410) 238-7587

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1659798841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 RIVERWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212212916",
            "telephone_number": "410-238-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 RIVERWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212212916",
            "telephone_number": "410-238-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "TYRONE",
        "name_prefix": "Mr.",
        "credential": "LICENSE CLINICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA455",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCA455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL ALCOHOL & DRUG COUNSELOR",
            "identifier": "LCA455",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Fleming, BCBA
• Alyssa Rae Fleming
• Cheri Fleming
• Loretta Fleming
• Myron Norwood Fleming III, LCSW-C
• William Patton Fleming Sr., PA-C
• Alison Flentje
• Rachel Fletcher-Slater, DO, MPH
• Adrianna D Fletcher
• Ayonna Fletcher

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.