Organization Active NPI

Megan Kelly

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1932863370
Registry record updated Oct 22, 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
MEGAN KELLY
Practice address
4000 N Charles St
Baltimore, MD 21218-1760
Phone
(410) 914-8275
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Megan Kelly, LCSW-CNPI 1518216530
Title
Clinical Therapist, Owner
Phone
(410) 914-8275

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

4000 N Charles St
Baltimore, MD 21218-1760

Mailing address

1014 W 36TH St Unit 87
Baltimore, MD 21211-2415

Other names 1

  • Well Planted Clinical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1014 W 36th St
Unit 87
Baltimore, MD 21211
Phone (781) 635-2889

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1932863370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST UNIT 87",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181760",
            "telephone_number": "410-914-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN KELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "410-914-8275",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Planted Clinical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 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.