Organization Active NPI

Basal Therapies, LLC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1952073199
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BASAL THERAPIES, LLC
Practice address
8411 Broadband Dr Ste D
Frederick, MD 21701-4741
Phone
(443) 776-0271
Fax
(301) 663-8322
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Kathryn Ferro, SLP
Title
Director
Phone
(240) 838-4346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

8411 Broadband Dr Ste D
Frederick, MD 21701-4741

Mailing address

5104 Pegasus CT Ste B
Frederick, MD 21704-8323
Phone (443) 776-0271

National Provider Directory

National Provider Directory
Tax ID family
Basal Therapies LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8411 Broadband Dr
Apt D
Frederick, MD 21701
Phone (301) 682-4803

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1952073199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 PEGASUS CT STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048323",
            "telephone_number": "443-776-0271",
            "fax_number": "301-663-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 BROADBAND DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014741",
            "telephone_number": "443-776-0271",
            "fax_number": "301-663-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASAL THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-838-4346",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.