MR. REGINALD DAVID BURGESS (NPI# 1861615890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861615890 |
| Entity Type | Individual |
| Full Name | MR. REGINALD DAVID BURGESS |
| Credential | MS, LCPC, LCADC |
| Practice Address |
8830 Orchard Tree Ln Suite 127 Baltimore MD 21286-2143 |
| Mailing Address |
8830 Orchard Tree Ln Ste 127 Baltimore MD 21286-2143 |
| Practice Telephone | 4436323606 |
| Practice Fax Number | 4436323652 |
| Mailing Telephone | 4436323606 |
| Mailing Fax Number | 4436323652 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA407 | MD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC2419 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 013444900 | 05 |
| Street Address |
8830 ORCHARD TREE LN SUITE 127 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21286-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924922 | Amani M Surges Martorella | Social Worker | 8830 Orchard Tree Ln, Ste 127, Baltimore, MD 21286-2143 | 2010-10-13 |
| 1972818243 | Clara Lynette Leath | Social Worker | 8830 Orchard Tree Ln, Baltimore, MD 21286-2143 | 2010-08-11 |
| 1366675704 | Ayannah Brower-jones | Counselor | 8830 Orchard Tree Ln, Suite 127, Baltimore, MD 21286-2143 | 2009-09-02 |
| 1730312703 | Erica Simone Zachary | Social Worker | 8830 Orchard Tree Ln, Suite 127, Baltimore, MD 21286-2143 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1962002709 | This Generation Will Succeed, LLC | Counselor | 2835 Odonnell St Ste 203, Baltimore, MD 21224-4995 | 2020-10-30 |
| 1174123244 | Alexia N Smith | Counselor | 841 E Fort Ave # 385, Baltimore, MD 21230-5117 | 2020-10-28 |
| 1578179396 | Jomar Nicholas Mcfarlane | Counselor | 141 N Patterson Park Ave, Baltimore, MD 21231-1659 | 2020-09-17 |
| 1871106559 | Diana Harden | Counselor | 5022 Campbell Blvd # L-m, Baltimore, MD 21236-4969 | 2020-08-24 |
| 1053922708 | Shaindel Edelman | Counselor | 17 Warren Rd Ste 25b, Baltimore, MD 21208-5334 | 2020-08-14 |
| 1912524323 | Lydia Hubbard | Counselor | 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 | 2020-07-01 |
| 1184249922 | Building People Behavioral Health | Counselor | 2140 Mcculloh St, Baltimore, MD 21217-3529 | 2020-06-08 |
| 1033733274 | The Improving Quality of Life, LLC | Counselor | 5602 Baltimore National Pike Suite 300, Baltimore, MD 21228-1410 | 2020-06-03 |
| 1053933986 | David Lewis | Counselor | 125 N Hilton St, Baltimore, MD 21229-3748 | 2020-05-14 |
| Find all providers in BALTIMORE | ||||
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| 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.