NPIMap

Organization Active NPI

Radical Liberation Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1831851286
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RADICAL LIBERATION COUNSELING, LLC
Practice address
600 Wyndhurst Ave Ste 245a
Baltimore, MD 21210-2436
Phone
(443) 687-9514
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Ms. Briana Sutton, LGPCNPI 1497381727
Title
Owner
Phone
(443) 687-9514

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 Wyndhurst Ave Ste 245a
Baltimore, MD 21210-2436

Mailing address

600 Wyndhurst Ave Ste 245a
Baltimore, MD 21210-2436

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Business

National Provider Directory

National Provider Directory

Locations

600 Wyndhurst Ave
Ste 245A
Baltimore, MD 21210
Phone (443) 687-9514

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1831851286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436",
            "telephone_number": "443-687-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL LIBERATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-687-9514",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Business",
            "affiliation": "N",
            "address_1": "600 Wyndhurst Ave Ste 245A",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212102436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 12, 2021; 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.