NPIMap

Organization Active NPI

Gennesaret Counseling Services LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1922362540
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08986 Issued in MD
Legal business name
GENNESARET COUNSELING SERVICES LLC
Practice address
1100 W Pratt St
Baltimore, MD 21223-2689
Phone
(410) 528-6003
Fax
(410) 528-6004
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Toyin Opesanmi, MDNPI 1346332434
Title
Ceo
Phone
(410) 528-6003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 08986 MD Primary

Addresses

Primary practice location

1100 W Pratt St
Baltimore, MD 21223-2689

Mailing address

12108 Early Lilacs Path
Clarksville, MD 21029-1676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1922362540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 EARLY LILACS PATH",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232689",
            "telephone_number": "410-528-6003",
            "fax_number": "410-528-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNESARET COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "OPESANMI",
        "authorized_official_first_name": "TOYIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-528-6003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08986",
            "primary": true
        }
    ],
    "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 Jun 28, 2012; 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.