North Park Family Consultation Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NORTH PARK FAMILY CONSULTATION CENTER, LLC

Practice address

4C North Ave
Suite 403
Bel Air, MD 21014-2330

Phone

(410) 638-7088

Fax

(410) 838-6453

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Gregory E. Smith, LCPC

Title

Owner

Phone

(410) 638-7088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982827754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE",
            "address_2": "SUITE 403",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142330",
            "telephone_number": "410-638-7088",
            "fax_number": "410-838-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE",
            "address_2": "SUITE 403",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142330",
            "telephone_number": "410-638-7088",
            "fax_number": "410-838-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK FAMILY CONSULTATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-638-7088",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bel Air, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.