PORT RECOVERY MENTAL HEALTH, INC.
NPI 1932453727
Counselor - Mental Health in Baltimore, MD
NPI Status: Active since November 01, 2012
Contact Information
7004 HARFORD RD
BALTIMORE, MD
ZIP 21234
Phone: (443) 869-4909
Fax: (443) 869-4928
- Organization
- Counselor
- Mental Health
- CLIA Number: 21D2107314
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 07-28-2026
About PORT RECOVERY MENTAL HEALTH, INC.
This page provides the complete NPI Profile along with additional information for Port Recovery Mental Health, Inc., a provider established in Baltimore, Maryland operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1932453727 assigned on November 2012. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Port Recovery Mental Health, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joanne Granruth (Owner)
- NPI
- 1932453727
- Provider Name
- PORT RECOVERY MENTAL HEALTH, INC.
- Entity Type
- Organization
- Location Address
- 7004 HARFORD RD BALTIMORE, MD 21234
- Location Phone
- (443) 869-4909
- Location Fax
- (443) 869-4928
- Mailing Address
- 8615 RIDGELYS CHOICE DR STE 205 NOTTINGHAM, MD 21236
- Mailing Phone
- (410) 534-8735
- Mailing Fax
- (443) 869-4928
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-01-2012
- Last Update Date
- 11-19-2018
- Code Navigator
A mental health counselor like Port Recovery Mental Health, Inc. provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
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
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
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) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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 |
|---|---|---|---|
| 623601400 | MEDICAID (05) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2107314
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- July 29, 2024
- Certificate Expiration Date
- July 28, 2026
- Laboratory Director
- MR. ARMAH GRAY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Port Recovery Mental Health, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1932453727, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BALTIMORE, MD 21234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932453727, enumerated as an "organization" on November 01, 2012.
The provider is located at 7004 HARFORD RD BALTIMORE, MD 21234 and the phone number is (443) 869-4909.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.