MR. TIMOTHY MURUNGI IBUTU


Address: 4201 Primrose Ave, Baltimore, MD 21215-3305
Phone: 4107648560

MR. TIMOTHY MURUNGI IBUTU (NPI# 1699171389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699171389
Entity Type Individual
Full Name MR. TIMOTHY MURUNGI IBUTU
Other Name TIMOTHY MURUNGI IBUTU
Credential LCPC, NCC
Practice Address 4201 Primrose Ave
Baltimore
MD 21215-3305
Mailing Address 208 Ingleside Ave
Catonsville
MD 21228-4420
Practice Telephone 4107648560
Mailing Telephone 4437398170
Enumeration Date 2014-11-07
Last Update Date 2014-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC4519 MD Behavioral Health & Social Service Providers

Office Location

Street Address 4201 PRIMROSE AVE
City BALTIMORE
State MD
Zip Code 21215-3305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346287299 Dimitrios Anthanasios Cavathas Social Worker 4201 Primrose Ave, Baltimore, MD 21215-3305 2006-05-31
1164965935 Marcia Harton Nurse Practitioner 4201 Primrose Ave, Baltimore, MD 21215-3305 2016-11-29
1427500404 People Encouraging People Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4201 Primrose Ave, Baltimore, MD 21215-3305 2016-10-26
1316349798 John Spann Nurse Practitioner 4201 Primrose Ave, Baltimore, MD 21215-3305 2014-09-17
1750641221 Eric Angeme Amene Nurse Practitioner 4201 Primrose Ave, Baltimore, MD 21215-3305 2012-05-18
1396035622 People Encouraging People, Inc. Clinic/Center 4201 Primrose Ave, Baltimore, MD 21215-3305 2011-04-07
1629218326 People Encouraging People, Inc. Substance Abuse Rehabilitation Facility 4201 Primrose Ave, Baltimore, MD 21215-3305 2009-02-20
1548482615 Annette Lillian Scott Counselor 4201 Primrose Ave, People Encouraging People, Inc., Baltimore, MD 21215-3305 2007-05-02
1689799058 People Encouraging People, Inc. Counselor 4201 Primrose Ave, Baltimore, MD 21215-3305 2007-03-21
1033234240 People Encouraging People, Inc. Counselor 4201 Primrose Ave, Baltimore, MD 21215-3305 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21215

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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