NPIMap

Organization Active NPI

Entro, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
National Provider Identifier
1730974684
Registry record updated Apr 11, 2025
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
ENTRO, LLC
Practice address
8615 Ridgelys Choice Dr Ste 211
Nottingham, MD 21236-3028
Phone
(410) 617-8043
Fax
(410) 624-5738
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Mrs. Tonyia Godlock-Kemp, LCSW-C
Title
Owner
Phone
(410) 617-8043

Specialties & licenses 1

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

Addresses

Primary practice location

8615 Ridgelys Choice Dr Ste 211
Nottingham, MD 21236-3028

Mailing address

8615 Ridgelys Choice Dr Ste 211
Nottingham, MD 21236-3028
Phone (410) 617-8043

National Provider Directory

National Provider Directory
Tax ID family
Entro LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

8615 Ridgelys Choice Dr
Ste 211
Nottingham, MD 21236
Phone (410) 617-8043

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": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1730974684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR STE 211",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363028",
            "telephone_number": "410-617-8043",
            "fax_number": "410-624-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR STE 211",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363028",
            "telephone_number": "410-617-8043",
            "fax_number": "410-624-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "GODLOCK-KEMP",
        "authorized_official_first_name": "TONYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-617-8043",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "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 Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.