NPIMap

Organization Active NPI

Tillie'S House of Hope

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1710277942
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC2897 Issued in MD
Legal business name
TILLIE'S HOUSE OF HOPE
Practice address
10009 Preakness Dr
Upper Marlboro, MD 20772-3865
Phone
(240) 682-4247
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Ms. Tillie Marie Brown, MA,NCC,LCPCNPI 1851680920
Title
Professional Counselor
Phone
(240) 682-4247

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
Community/Behavioral Health Agency 251S00000X LC2897 MD Primary

Addresses

Primary practice location

10009 Preakness Dr
Upper Marlboro, MD 20772-3865

Mailing address

10009 Preakness Dr
Upper Marlboro, MD 20772-3865
Phone (240) 682-4247

National Provider Directory

National Provider Directory

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": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1710277942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 PREAKNESS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723865",
            "telephone_number": "240-682-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 PREAKNESS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723865",
            "telephone_number": "240-682-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLIE'S HOUSE OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TILLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "240-682-4247",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,NCC,LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.