Active NPI
Hoya Maryland LLC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1972356723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HOYA MARYLAND LLC
- Practice address
- 1120 N Charles St Ste 415
Baltimore, MD 21201-5500 - Phone
- (443) 435-4771
- NPI assigned
- Apr 10, 2024
- Organization subpart
- Yes
- Parent organization
- HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Grant, MS
- Title
- Owner/ Director
- Phone
- (443) 435-4771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1120 N Charles St Ste 415
Baltimore, MD 21201-5500
Mailing address
1120 N Charles St Ste 415
Baltimore, MD 21201-5500
Phone (443) 435-4771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D19012772 | Medicaid | MD |
National Provider Directory
National Provider Directory- Part of
- Helping Our Youth Achieve Case Management
Locations
1120 N Charles St
Ste 415
Baltimore, MD 21201
Phone (443) 435-4771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1972356723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 415",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015500",
"telephone_number": "443-435-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 415",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015500",
"telephone_number": "443-435-4771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOYA MARYLAND LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER/ DIRECTOR",
"authorized_official_telephone_number": "443-435-4771",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D19012772",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.