NPIMap

Organization Active NPI

This Generation Will Succeed, LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1962002709
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THIS GENERATION WILL SUCCEED, LLC
Practice address
2835 Odonnell St Ste 203
Baltimore, MD 21224-4995
Phone
(443) 759-4006
Fax
(443) 203-2636
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Dominic T MitchellNPI 1144876806
Title
Ceo
Phone
(443) 759-4006

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 CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2835 Odonnell St Ste 203
Baltimore, MD 21224-4995

Mailing address

4953 Bristle Cone Cir
Aberdeen, MD 21001-2605
Phone (443) 360-7596

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherMDNO NUMBER

Other names 1

  • This Generation Will Succeed Behavioral Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmitchell@generationalsuccess.org Direct

National Provider Directory

National Provider Directory

Locations

2835 Odonnell St
Ste 203
Baltimore, MD 21224
Phone (443) 759-4006

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": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1962002709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 BRISTLE CONE CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012605",
            "telephone_number": "443-360-7596",
            "fax_number": "443-203-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 ODONNELL ST STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244995",
            "telephone_number": "443-759-4006",
            "fax_number": "443-203-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS GENERATION WILL SUCCEED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-759-4006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBER",
            "identifier": "000000000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmitchell@generationalsuccess.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2835 ODonnell St Ste 203",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212244995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "This Generation Will Succeed Behavioral Health Center",
            "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 30, 2020; 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.