Organization Active NPI

2ND Journey LLC

  • Recovery Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1821770264
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
2ND JOURNEY LLC
Practice address
5247 Reisterstown Rd 1St Floor
Baltimore, MD 21215-5018
Phone
(240) 475-2325
NPI assigned
Aug 4, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Terri Fields
Title
Credentialing Consultant
Phone
(443) 567-6120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5247 Reisterstown Rd 1St Floor
Baltimore, MD 21215-5018

Mailing address

5247 Reisterstown Rd FL 1
Baltimore, MD 21215-5018
Phone (240) 475-2325

National Provider Directory

National Provider Directory
Tax ID family
2ND Journey LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5247 Reisterstown Rd
Fl 1
Baltimore, MD 21215
Phone (240) 475-2325

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1821770264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 REISTERSTOWN RD FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155018",
            "telephone_number": "240-475-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 REISTERSTOWN RD 1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155018",
            "telephone_number": "240-475-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "443-567-6120"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2023; 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.