NPIMap

Organization Active NPI

Agape Mental Health Services

  • Clinical Social Worker
  • Parkville, MD
National Provider Identifier
1992332209
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AGAPE MENTAL HEALTH SERVICES
Practice address
8005 Harford Rd
Parkville, MD 21234-5753
Phone
(443) 707-8319
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Lacy Denise AllenNPI 1487005278
Title
Owner
Phone
(443) 707-8319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8005 Harford Rd
Parkville, MD 21234-5753

Mailing address

9008 Harford Rd
Parkville, MD 21234-4000
Phone (443) 707-8319

Other practice location 1

9500 Annapolis Rd Bldg A
Lanham, MD 20706-2060
Phone (443) 707-8319

Other names 1

  • Lacy Denise Allen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130000184 MD Part B Supplier - Clinic/Group Practice 6800207630 Receives reassigned benefits from 4 practitioners
Practice locations: Parkville, MD

National Provider Directory

National Provider Directory
Tax ID family
Agape Mental Health Services2 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.

Locations

9500 Annapolis Rd
Bldg A
Lanham, MD 20706
Phone (443) 707-8319

8005 Harford Rd
Parkville, MD 21234
Phone (443) 707-8319

9008 Harford Rd
Ste 3
Parkville, MD 21234
Phone (443) 707-8319

9008 Harford Rd
Parkville, MD 21234

8005 Harford Rd
Ste 101
Parkville, MD 21234
Phone (443) 707-8319

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1992332209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344000",
            "telephone_number": "443-707-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "443-707-8319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Annapolis Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062060",
            "country_code": "US",
            "telephone_number": "443-707-8319",
            "fax_number": "443-558-3762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-707-8319"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacy Denise Allen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lacy Denise Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.