Organization Active NPI

Resolution Advocates, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Hagerstown, MD
National Provider Identifier
1700542180
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RESOLUTION ADVOCATES, LLC
Practice address
145 Iko Way Ste 101
Hagerstown, MD 21740-8133
Phone
(240) 520-2237
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Jamie Noel Mathewson, LCSW-CNPI 1346804879
Title
Co-Owner, Clinician
Phone
(240) 520-2237

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

145 Iko Way Ste 101
Hagerstown, MD 21740-8133

Mailing address

817 View St
Hagerstown, MD 21742-3960

Other identifiers 1

IdentifierTypeStateIssuer
502602400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Resolution Advocates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Iko Way
Ste 101
Hagerstown, MD 21740
Phone (240) 520-2237

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": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1700542180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 VIEW ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 IKO WAY STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217408133",
            "telephone_number": "240-520-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION ADVOCATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MATHEWSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "CO-OWNER, CLINICIAN",
        "authorized_official_telephone_number": "240-520-2237",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502602400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.