Organization Active NPI

Outside the Lines Counseling LLC

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1780131383
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11825 Issued in MD
Legal business name
OUTSIDE THE LINES COUNSELING LLC
Practice address
22 W Padonia Road
Suite A203
Lutherville, MD 21093-2277
Phone
(410) 245-9722
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Authorized official

Name
Mrs. Amy Heilman, LCSW-CNPI 1063790848
Title
Therapist
Phone
(410) 245-9722

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 11825 MD Primary

Addresses

Primary practice location

22 W Padonia Road
Suite A203
Lutherville, MD 21093-2277

Mailing address

1204 Dublin Court
Lutherville, MD 21093-2277
Phone (410) 245-9722

Other identifiers 1

IdentifierTypeStateIssuer
1063790848OtherMDNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160909000671 MD Part B Supplier - Clinic/Group Practice 0143516633 Receives reassigned benefits from 1 practitioner
Practice locations: Lutherville Timonium, MD; Lutherville, MD

National Provider Directory

National Provider Directory

Locations

2300 York Rd
Ste 104
Lutherville Timonium, MD 21093
Phone (410) 245-9722

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473465600000",
    "number": "1780131383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 DUBLIN COURT",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932277",
            "telephone_number": "410-245-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA ROAD",
            "address_2": "SUITE A203",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932277",
            "telephone_number": "410-245-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE THE LINES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-10",
        "status": "A",
        "authorized_official_last_name": "HEILMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "410-245-9722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063790848",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.