REFORMING LIVES
NPI 1083142335
Clinic/Center - Adult Mental Health in Baltimore, MD

NPI Status: Active since May 31, 2017

Contact Information

5900 YORK RD STE 108
BALTIMORE, MD
ZIP 21212
Phone: (443) 682-7079

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About REFORMING LIVES

This page provides the complete NPI Profile along with additional information for Reforming Lives, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1083142335 assigned on May 2017. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mrs. Sheena Green Lcpc (Therapist/owner)

NPI
1083142335
Provider Name
REFORMING LIVES
Entity Type
Organization
Location Address
5900 YORK RD STE 108 BALTIMORE, MD 21212
Location Phone
(443) 682-7079
Mailing Address
1728 CHILTON ST BALTIMORE, MD 21218
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2017
Last Update Date
06-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHEENA GREEN LCPC

Authorized Official Title
THERAPIST/OWNER
Authorized Official Phone
(443) 682-7079

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
521607900MEDICAID (05)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083142335
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016324436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 4 + 4 + 3 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1083142335 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922570316ASPIRE TO CHANGE WELLNESS SERVICES, LLC
Organization
Social Worker (Clinical)5900 YORK RD STE 108
BALTIMORE, MD 21212
(443) 682-7079
1649943309 SHAWANDA KIMBERLY GARNER LMSW
Individual
Social Worker5900 YORK RD STE 108
BALTIMORE, MD 21212
(240) 316-1461
1851028104SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)5900 YORK RD STE 108
BALTIMORE, MD 21212
(410) 982-5156
1659076578SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES
Organization
Community/Behavioral Health5900 YORK RD STE 108
BALTIMORE, MD 21212
(443) 869-2982

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083142335, enumerated in the NPI registry as an "organization" on May 31, 2017

The provider is located at 5900 York Rd Ste 108 Baltimore, Md 21212 and the phone number is (443) 682-7079

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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