Eisele Enterprises, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EISELE ENTERPRISES, LLC

Practice address

1300 York Rd BLDG a
Lutherville Timonium, MD 21093-6016

Phone

(410) 340-6014

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Janice and David Eisele

Title

Owner

Phone

(410) 340-6014

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Eisele

  • Clinical Social Worker
  • Lutherville Timonium, MD
  • NPI 1447999800
  NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1720713779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 WESTERN RUN RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301122",
            "telephone_number": "410-340-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD BLDG A",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-340-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISELE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "EISELE",
        "authorized_official_first_name": "JANICE AND DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-340-6014"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiristen Leigh Draughn, MPS
• Jamar Dues
• Elizabeth Jane Duvall
• Norman M Dy, MD
• Ryan Matthew Edwards, PTA
• Janice Eisele
• Endodontic Partners LLC
• Eric Klein DMD LLC
• Susan W Ettinger, MSN,NPC
• Eye Care Associates of MD, LLC

• Mental Health Counselor in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.