MEDICARE: ONE PROMISE COUNSELING AND EDUCATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1699406884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE PROMISE COUNSELING AND EDUCATION

Provider Business Mailing Address
First Line	:	6207 BELAIR RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-1942
Country	:	US
Telephone Number	:	443-835-2681
Fax Number	:

Provider Business Practice Location Address
First Line	:	6707 YOUNGSTOWN AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21222-1026
Country	:	US
Telephone Number	:	443-835-2681
Fax Number	:	410-624-5114

Authorized Official
Title or Position	:	PROGRAM ADMINISTRATOR
Name	:	CRAIG HOWARD LIPPENS
Credential	:
Telephone Number	:	443-835-2681

Provider Enumeration Date	:	06/20/2022
Last Update Date	:	12/09/2025

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