Organization Active NPI

Therapeutic Value LLC

  • Addiction (Substance Use Disorder) Counselor
  • Annapolis, MD
National Provider Identifier
1982006193
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AC2014 Issued in MD
Legal business name
THERAPEUTIC VALUE LLC
Practice address
90 Edgewood Ave
Annapolis, MD 21401-4010
Phone
(443) 392-2049
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
J Brian Rollman, MA,CAC-AD
Title
Program Administrator
Phone
(443) 392-2049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X AC2014 MD Primary

Addresses

Primary practice location

90 Edgewood Ave
Annapolis, MD 21401-4010

Mailing address

486 Laurel Valley CT
Arnold, MD 21012-2379
Phone (443) 392-2049

National Provider Directory

National Provider Directory

Locations

90 Edgewood Ave
Annapolis, MD 21401
Phone (443) 392-2049

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1982006193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 LAUREL VALLEY CT",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122379",
            "telephone_number": "443-392-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EDGEWOOD AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014010",
            "telephone_number": "443-392-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC VALUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "ROLLMAN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "443-392-2049",
        "authorized_official_credential": "MA,CAC-AD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.