NPIMap

Organization Active NPI

Mark Goldberg Counseling LLC

  • Community/Behavioral Health Agency
  • Pikesville, MD
National Provider Identifier
1942663398
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LGM568 Issued in MD
Legal business name
MARK GOLDBERG COUNSELING LLC
Practice address
104 Church LN # 103
Pikesville, MD 21208-3786
Phone
(443) 835-6991
NPI assigned
Apr 2, 2016
Last updated
Apr 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Authorized official

Name
Mr. Mark GoldbergNPI 1609478486
Title
Therapist
Phone
(443) 835-6991

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
Community/Behavioral Health Agency 251S00000X LGM568 MD Primary

Addresses

Primary practice location

104 Church LN # 103
Pikesville, MD 21208-3786

Mailing address

104 Church LN # 103
Pikesville, MD 21208-3786

National Provider Directory

National Provider Directory

Locations

104 Church Ln
#103
Pikesville, MD 21208
Phone (443) 835-6991

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": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1942663398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN # 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN # 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "443-835-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GOLDBERG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "443-835-6991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LGM568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.