Brenda Bivens Wilson
Community/Behavioral Health

Address: 1726 Bolton St, Baltimore, MD 21217-4904
Phone: 4103362937

Brenda Bivens Wilson (NPI# 1982211322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982211322
Entity Type Organization
Practice Address 1726 Bolton St
MD 21217-4904
Practice Telephone 4103362937
Mailing Address 1726 Bolton St
MD 21217-4904
Mailing Telephone 4103362937
Authorized Official Name Brenda B. Wilson (OWNER)
Authorized Official Telephone 4103362937
Authorized Official Credential MS, LGPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-29
Last Update Date 2020-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366056855 The Wel Foundation, LLC. Community/Behavioral Health 5858 Belair Rd, Baltimore, MD 21206-2661 2020-09-02
1679185177 Center for Youth and Families Inc Community/Behavioral Health 6304 Elinore Ave, Baltimore, MD 21206-1721 2020-08-18
1457977100 Apex Wellness Group, LLC Community/Behavioral Health 118 E 25th St Unit 2, Baltimore, MD 21218-5281 2020-06-18
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1669093829 Upcoming Enterprize Corporation Community/Behavioral Health 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 2020-04-29
1922629344 Providing Empowerment Advocacy & Social Skills Community/Behavioral Health 2361 Flax Ter, Baltimore, MD 21209-4625 2020-04-27
1801415153 New Life Family Services LLC Community/Behavioral Health 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 2020-04-15
1770111544 Dream Works Health and Wellness, LLC Community/Behavioral Health 935 S Wolfe St Fl 2, Baltimore, MD 21231-3515 2020-03-29
1316574502 Greater Baltimore Behavioral Health Services LLC Community/Behavioral Health 402 E 25th St Fl 1, Baltimore, MD 21218-5304 2020-03-26
1962038075 Olanrewaju W Etti Community/Behavioral Health 402 E 25th St, Baltimore, MD 21218-5304 2020-03-20
Find all providers in BALTIMORE

Office Location

Street Address 1726 BOLTON ST
State MD
Zip Code 21217-4904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962979500 Jia K Allen Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2018-11-01
1982186102 Family First Home Care LLC In Home Supportive Care 1645 N Calhoun St Apt 205, Baltimore, MD 21217 2018-09-04
1821598616 Organizational Pathways, LLC Counselor 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 2018-02-18
1881131308 Domonique Matthews Registered Nurse 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 2017-01-23
1992121982 Dorren Rennes Counselor 2350 Eutaw Place, Baltimore, MD 21217 2014-03-14
1437498615 Care One Pharmacy Ltc/specialty Pharmacy Pharmacy 2277-2279 Reisterstown Road, Baltimore, MD 21217 2013-02-07
1790023448 Adeola Titilayo Adefioye Registered Nurse 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 2013-01-30
1912274150 Total Health Care Inc. Community/Behavioral Health 5101 Division Street, Baltimore, MD 21217 2011-11-16
1386816395 Kennedy Krieger Education and Communication Social Worker 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 2008-03-31
1740452762 Kennedy Krieger Education and Communication Social Worker 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 2008-03-31
Find all providers in zip 21217


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Zip Code 21217

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Dataset Information

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.