Support by Design

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUPPORT BY DESIGN

Practice address

3013 Montebello Ter
Baltimore, MD 21214-3311

Phone

(443) 927-7856

NPI assigned

Mar 8, 2020

Organization subpart

No

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

Authorized official

Name

Luanda JohnsonNPI 1710375795

Title

Clinical Director

Phone

(516) 306-5117

Specialties & licenses 1

Addresses

Tax ID family

Support by Design2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Support by Design

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1740720697
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luanda Johnson

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1710375795
  NPD (past) Authorized official

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1982239174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 MONTEBELLO TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 MONTEBELLO TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143311",
            "telephone_number": "443-927-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-08",
        "last_updated": "2023-09-06",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "516-306-5117"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Suobo, LCPC, LCADS
• Superior Screening Solutions
• Denise Supik
• W Scott Supplee, MD
• Support by Design
• Support Services of Maryland Corporation
• Supportive Care of Maryland LLC
• Supportive Community Services, LLC.
• Supportive Housing Group, Inc.
• Supportive Team of Restorative Management Behavioral Services

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.