Active NPI
D. E. Therapeutics, LLC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1700555927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- D. E. THERAPEUTICS, LLC
- Practice address
- 910 Marlau Dr
Baltimore, MD 21212-3213 - Phone
- (443) 608-3067
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Ann Edmonds, LCPC
- Title
- Owner
- Phone
- (443) 608-3067
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
910 Marlau Dr
Baltimore, MD 21212-3213
Mailing address
910 Marlau Dr
Baltimore, MD 21212-3213
Phone (443) 608-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1487888434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1700555927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 MARLAU DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123213",
"telephone_number": "443-608-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MARLAU DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123213",
"telephone_number": "443-608-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D. E. THERAPEUTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "EDMONDS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-608-3067",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 10, 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.