The Kingsman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE KINGSMAN

Practice address

2361 Flax Ter
Baltimore, MD 21209-4625

Phone

(410) 330-2590

NPI assigned

Apr 19, 2023

Last updated

Apr 19, 2023By 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

Mr. Damian Jones, LCPCNPI 1396325221

Title

Owner/Founder/Ceo

Phone

(410) 330-2590

Specialties & licenses 1

Addresses

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.

• Damian Paul Jones, LGPC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1396325221
  NPD Authorized official

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1881381820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 FLAX TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094625",
            "telephone_number": "410-330-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 FLAX TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094625",
            "telephone_number": "410-330-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KINGSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER/FOUNDER/CEO",
        "authorized_official_telephone_number": "410-330-2590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.