Organization Active NPI

I Cant-We Can Counseling Center LLC

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1710409305
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D2112279 Issued in MD
Legal business name
I CANT-WE CAN COUNSELING CENTER LLC
Practice address
4432 Park Heights Ave
Baltimore, MD 21215-6315
Phone
(410) 728-5174
Fax
(410) 728-5729
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Theresa Thomas
Title
Director
Phone
(410) 824-8149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Clinical Medical Laboratory 291U00000X 21D2112279 MD Primary

Addresses

Primary practice location

4432 Park Heights Ave
Baltimore, MD 21215-6315

Mailing address

4432 Park Heights Ave
Baltimore, MD 21215-6315
Phone (410) 728-5174

Other identifiers 2

IdentifierTypeStateIssuer
1366801466OtherMDBEHAVIORAL HEALTH
411108700MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
I Can'T We Can Counseling Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710409305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156315",
            "telephone_number": "410-728-5174",
            "fax_number": "410-728-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156315",
            "telephone_number": "410-728-5174",
            "fax_number": "410-728-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CANT-WE CAN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-824-8149"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D2112279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "1366801466",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411108700",
            "state": "MD"
        }
    ],
    "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 Jul 21, 2022; 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.