Baltimore Wellness Collaborative

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BALTIMORE WELLNESS COLLABORATIVE

Practice address

1014 W 36TH St Ste 213
Baltimore, MD 21211-2415

Phone

(410) 236-2622

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paris Bienert, LCSW-CNPI 1386238905

Title

Founder

Phone

(410) 236-2622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paris Bienert

  • Social Worker
  • Towson, MD
  • NPI 1386238905
  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1760227524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W UNIVERSITY PKWY STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212103441",
            "telephone_number": "410-236-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST STE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "410-236-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE WELLNESS COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BIENERT",
        "authorized_official_first_name": "PARIS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "410-236-2622",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baltimore Vamc
• Baltimore Vamc
• Baltimore Washington Gastroenterology PA
• Baltimore Washington Pathology Group LLC
• Baltimore Wellness
• Baltimore Wellness Group LLC
• Baltimore Women's Psychological Services, LLC (matriARC)
• Harini Balu
• Sriram Balu, PA-C
• Redentor Balubar

• Adult Mental Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.