INTEGRATED LIFE THERAPEUTIC SOLUTIONS
NPI 1396423240
Social Worker - Clinical in Baltimore, MD
About Integrated Life Therapeutic Solutions NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED LIFE THERAPEUTIC SOLUTIONS (NPI 1396423240) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since July 2023. The organization lists Khadejah Mcdougald, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Life Therapeutic Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Life Therapeutic Solutions, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Integrated Life Therapeutic Solutions's NPI number?
The NPI number for Integrated Life Therapeutic Solutions is 1396423240. It was assigned to this organization in the NPPES registry on July 10, 2023.
Where is Integrated Life Therapeutic Solutions located?
Integrated Life Therapeutic Solutions is located at 4024 Colborne Rd, Baltimore, MD 21229. The listed phone number is (443) 422-5095.
What is Integrated Life Therapeutic Solutions's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Integrated Life Therapeutic Solutions enrolled in Medicare?
Yes. Integrated Life Therapeutic Solutions is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Life Therapeutic Solutions?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Life Therapeutic Solutions, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Life Therapeutic Solutions was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.