ROGUE RIVER COUNSELING, LLC (NPI# 1033620364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033620364 |
| Entity Type | Organization |
| Organization Name | ROGUE RIVER COUNSELING, LLC |
| Practice Address |
2007 Tidewater Colony Dr Ste 1a Annapolis MD 21401-2102 |
| Practice Telephone | 4102949300 |
| Practice Fax Number | 4102949300 |
| Mailing Telephone | 4102949300 |
| Mailing Fax Number | 4102949300 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | JASON HOVEY (OWNER) |
| Authorized Official Telephone | 4102949300 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MD | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC6340 | MD | Behavioral Health & Social Service Providers |
| Street Address |
2007 TIDEWATER COLONY DR STE 1A |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700032125 | Frank Peter Fader | Physician Assistant | 2007 Tidewater Colony Dr Ste 1a, Annapolis, MD 21401-2102 | 2008-08-18 |
| 1104478254 | Aaron Tempel | Counselor | 2007 Tidewater Colony Dr Ste 1a, Annapolis, MD 21401-2102 | 2019-07-09 |
| 1912377615 | Kimberly Sun Yung Clemens | Counselor | 2007 Tidewater Colony Dr Ste 1a, Annapolis, MD 21401-2102 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233080 | Joia Patricia Felton | Counselor | 2445 Holly Ave Apt 223, Annapolis, MD 21401-3998 | 2020-10-22 |
| 1700484755 | Simone Behavioral Health | Counselor | 209 West St Ste 2015, Annapolis, MD 21401-3441 | 2020-10-13 |
| 1306450457 | Penumbra Counseling, LLC | Counselor | 2025 Harbour Gates Dr Apt 294, Annapolis, MD 21401-7507 | 2020-09-06 |
| 1801458757 | All Joshua, LLC | Counselor | 2568a Riva Rd Ste 202, Annapolis, MD 21401-7456 | 2019-07-01 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1346805884 | Susanna Cooper | Counselor | 170 Jennifer Rd Ste 202, Annapolis, MD 21401-3064 | 2019-05-09 |
| 1740750108 | Yusef Buchanan | Counselor | 420 Chinquapin Round Rd Ste 2l, Annapolis, MD 21401-4006 | 2018-11-28 |
| 1659859239 | Jasmine Quailey | Counselor | 1831 Forest Dr Ste H-2, Annapolis, MD 21401-4430 | 2018-08-05 |
| 1922551456 | Diane Bahr | Counselor | 8 Church Cir, 2a 53, Annapolis, MD 21401-1934 | 2016-08-02 |
| 1649620386 | Erin Beskid | Counselor | 209 West St Ste 201, Annapolis, MD 21401-3644 | 2016-06-14 |
| Find all providers in ANNAPOLIS | ||||
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| 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.