AUDACITY OF HOPE BEHAVIORAL HEALTH (NPI# 1952845539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952845539 |
| Entity Type | Organization |
| Organization Name | AUDACITY OF HOPE BEHAVIORAL HEALTH |
| Practice Address |
2219 Maryland Ave Baltimore MD 21218-5627 |
| Practice Telephone | 4102460600 |
| Practice Fax Number | 8668156746 |
| Mailing Telephone | 4102460600 |
| Mailing Fax Number | 8668156746 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | RENARDO FOSTER (OWNER) |
| Authorized Official Telephone | 4102460600 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUDACITY OF HOPE BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255525 | Audacity of Hope Behavioral Health | Counselor | 2219 Maryland Ave, Baltimore, MD 21218-5627 | 2016-10-06 |
| 1043742745 | Audacity of Hope Behavioral Health | Clinical Medical Laboratory | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2017-03-31 |
| 1316481997 | Audacity of Hope Behavioral Health | Counselor | 2219 Maryland Ave, Baltimore, MD 21218-5627 | 2016-12-15 |
| Street Address |
2219 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255525 | Audacity of Hope Behavioral Health | Counselor | 2219 Maryland Ave, Baltimore, MD 21218-5627 | 2016-10-06 |
| 1316481997 | Audacity of Hope Behavioral Health | Counselor | 2219 Maryland Ave, Baltimore, MD 21218-5627 | 2016-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027520 | Shanna Nicole Hanson | Case Manager/Care Coordinator | 9 Rumelia Cir, Baltimore, MD 21221-5829 | 2019-08-07 |
| 1982256525 | Amy Kim | Case Manager/Care Coordinator | 2101 Lake Ave, Baltimore, MD 21218-3129 | 2019-07-14 |
| 1548820988 | Tenika Danielle Jones | Case Manager/Care Coordinator | 1929 W Mulberry St, Baltimore, MD 21223-1122 | 2019-06-18 |
| 1063918324 | Mary Christina Augustin | Case Manager/Care Coordinator | 6708 Queens Ferry Rd, Baltimore, MD 21239-1428 | 2018-04-04 |
| 1487165569 | Stephanie Cristan Angle | Case Manager/Care Coordinator | 1501 S Clinton St Fl 5, Baltimore, MD 21224-5730 | 2017-10-17 |
| 1306203880 | Vickie Cooke | Case Manager/Care Coordinator | 3806 Ravenwood Ave, Baltimore, MD 21213-2022 | 2016-01-28 |
| 1497138036 | Shari Michelle Pincus | Case Manager/Care Coordinator | 24 S Patterson Park Ave, Baltimore, MD 21231-2106 | 2015-07-01 |
| 1700272630 | Denise Smith | Case Manager/Care Coordinator | 3217 Lawnview Ave, Baltimore, MD 21213-1627 | 2015-04-07 |
| 1043623465 | Port Recovery, Inc. | Case Manager/Care Coordinator | 3410 White Ave, Baltimore, MD 21214-2301 | 2014-06-03 |
| 1184046484 | Peggy Murphy | Case Manager/Care Coordinator | 3219 Vickers Rd, Baltimore, MD 21216-1941 | 2014-01-06 |
| 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.