Organization Active NPI

Avencrest Health & Human Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
National Provider Identifier
1730094459
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AVENCREST HEALTH & HUMAN SERVICES, LLC
Practice address
898 Airport Park Rd Ste 101
Glen Burnie, MD 21061-2521
Phone
(410) 768-4386
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Jeriesha Buchanan Hodge, LCPC
Title
Ceo
Phone
(301) 549-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

898 Airport Park Rd Ste 101
Glen Burnie, MD 21061-2521

Mailing address

898 Airport Park Rd Ste 101
Glen Burnie, MD 21061-2521
Phone (301) 549-4921

National Provider Directory

National Provider Directory

Locations

898 Airport Park Rd
Ste 101
Glen Burnie, MD 21061
Phone (410) 768-4386

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1730094459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 AIRPORT PARK RD STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612521",
            "telephone_number": "301-549-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 AIRPORT PARK RD STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612521",
            "telephone_number": "410-768-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENCREST HEALTH & HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN HODGE",
        "authorized_official_first_name": "JERIESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-549-4921",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.