NPIMap

Organization Active NPI

MLJ Counseling & Consulting Firm, LLC

  • Clinical Social Worker
  • Crofton, MD
National Provider Identifier
1760199863
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MLJ COUNSELING & CONSULTING FIRM, LLC
Practice address
1612 Professional Blvd Ste a
Crofton, MD 21114-2049
Phone
(443) 203-8508
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
MLJ COUNSELING & CONSULTING FIRM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Olubusola Sari, LCSW-CNPI 1730712852
Title
Chief Executive Officer
Phone
(443) 203-8508

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1612 Professional Blvd Ste a
Crofton, MD 21114-2049

Mailing address

1612 Professional Blvd Ste a
Crofton, MD 21114-2049
Phone (443) 203-8508

National Provider Directory

National Provider Directory
Tax ID family
MLJ Counseling Consulting Firm LLC2 organizations share this tax ID, including this one
Part of
MLJ Counseling Consulting Firm LLC

Other organizations with this tax ID 1

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

Locations

1612 Professional Blvd
Ste A
Crofton, MD 21114
Phone (443) 203-8508

1612 Professional Blvd
Ste 2
Crofton, MD 21114

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1760199863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 PROFESSIONAL BLVD STE A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142049",
            "telephone_number": "443-203-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PROFESSIONAL BLVD STE A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142049",
            "telephone_number": "443-203-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLJ COUNSELING & CONSULTING FIRM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MLJ COUNSELING & CONSULTING FIRM, LLC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "SARI",
        "authorized_official_first_name": "OLUBUSOLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "443-203-8508",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.