NPIMap

Organization Active NPI

Everest Health Counsel, LLC

Doing business as Everest Health Counsel

  • Counselor
  • Baltimore, MD
National Provider Identifier
1760871479
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EVEREST HEALTH COUNSEL, LLC
Doing business as
Everest Health Counsel
Practice address
704 Lennox St
Baltimore, MD 21217-4606
Phone
(202) 415-3363
NPI assigned
Jan 19, 2015
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Dolores Mutuku
Title
Executive Director
Phone
(202) 415-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X MD Primary

Addresses

Primary practice location

704 Lennox St
Baltimore, MD 21217-4606

Mailing address

704 Lennox St
Baltimore, MD 21217-4606

Other names 1

  • Everest Health Counsel Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1760871479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LENNOX ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174606",
            "fax_number": "410-834-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LENNOX ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174606",
            "telephone_number": "202-415-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST HEALTH COUNSEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "MUTUKU",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-415-3363"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everest Health Counsel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.