NPIMap

Organization Active NPI

Acbweaver Counseling LLC

Doing business as Eager Street Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1962926766
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC7221 Issued in MD
Legal business name
ACBWEAVER COUNSELING LLC
Doing business as
Eager Street Counseling
Practice address
10 W Eager St
Baltimore, MD 21201
Phone
(410) 205-9782
NPI assigned
Aug 2, 2017
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Mrs. Amanda Christinebrennan Weaver, LCPCNPI 1104371046
Title
Owner
Phone
(410) 205-9782

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC7221 MD Primary

Addresses

Primary practice location

10 W Eager St
Baltimore, MD 21201

Mailing address

10 W Eager St Ste 322
Baltimore, MD 21201-5743
Phone (410) 205-9782

Other names 1

  • Eager Street Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

10 W Eager St
Baltimore, MD 21201
Phone (410) 205-9782

10 W Eager St
Ste 322
Baltimore, MD 21201

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": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1962926766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W EAGER ST STE 322",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015743",
            "telephone_number": "410-205-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-205-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACBWEAVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CHRISTINEBRENNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-205-9782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eager Street Counseling",
            "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 May 23, 2018; 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.