Issiaih House 1
NPI 1205460284ActiveOrganization· Clinic/Center· Glen Burnie, MD
Clinic/Center in Glen Burnie, Maryland, registered in NPPES in February 2020, part of Issaiah House Inc. The authorized official on file is Darryl Braxton, LCAP, LCADC, Owner.
Overview
| NPI | 1205460284 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Issaiah House Inc |
| NPI issued | Feb 27, 2020 |
| Last updated in NPPES | Feb 27, 2020 |
| Certified by provider | Feb 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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