CONGRUENT COUNSELING SERVICES, LLC (NPI# 1295133692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295133692 |
Entity Type | Organization |
Organization Name | CONGRUENT COUNSELING SERVICES, LLC |
Other Organization Name | CCS ELDERSBURG - FACILITY FOR MEDICAID |
Practice Address |
6220 Georgetown Blvd Ste C Eldersburg MD 21784-6417 |
Mailing Address |
10630 Little Patuxent Pkwy Ste 209 Columbia MD 21044-6278 |
Practice Telephone | 4107408066 |
Practice Fax Number | 4107408068 |
Mailing Telephone | 4107408066 |
Mailing Fax Number | 4107408068 |
Enumeration Date | 2014-12-17 |
Last Update Date | 2020-04-22 |
Authorized Official Name | MARK DONOVAN (PRESIDENT) |
Authorized Official Telephone | 4107408066 |
Authorized Official Credential | LCPC, LCADC |
Is Organization Subpart | Y |
Parent Organization Name | CONGRUENT COUNSELING SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
906055 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 4231881 01 | 05 |
Other Name | Type Code |
---|---|
CCS Eldersburg - Facility for Medicaid | Other Name - Individual/Organization |
CCS Sykesville - Medicaid | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043617970 | Congruent Counseling Services, LLC | Counselor | 7600 York Rd, Towson, MD 21204-7500 | 2014-11-20 |
1053718981 | Congruent Counseling Services, LLC | Counselor | 8638 Veterans Hwy Ste 301, Millersville, MD 21108-1422 | 2014-11-20 |
1700283652 | Congruent Counseling Services, LLC | Counselor | 6220 Georgetown Blvd Ste C, Eldersburg, MD 21784-6417 | 2014-11-20 |
1174143853 | Congruent Counseling Services, LLC | Clinic/Center | 7600 York Rd, Towson, MD 21204-7500 | 2020-04-22 |
1669860805 | Congruent Counseling Services, LLC | Counselor | 8638 Veterans Hwy Ste 301, Millersville, MD 21108-1422 | 2014-12-22 |
1164820601 | Congruent Counseling Services, LLC | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-6278 | 2014-12-16 |
1306851837 | Congruent Counseling Services, LLC | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-6278 | 2006-07-31 |
Street Address |
6220 GEORGETOWN BLVD STE C |
City | ELDERSBURG |
State | MD |
Zip Code | 21784-6417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033364088 | Charles P. Palamone, D.c., Pa | Chiropractor | 6220 Georgetown Blvd, Eldersburg, MD 21784-6417 | 2008-11-18 |
1891136156 | Omelio Optical LLC | Optometrist | 6220 Georgetown Blvd, Suite C, Eldersburg, MD 21784-6417 | 2013-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
Find all providers in zip 21784 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962028076 | Hope Health Systems Inc | Clinic/Center | 6210 Georgetown Blvd Ste Abc, Eldersburg, MD 21784-6418 | 2020-06-24 |
1932103926 | Cedar Ridge Counseling Centers, LLC | Clinic/Center | 1425 Liberty Rd, Ste 208, Eldersburg, MD 21784-6415 | 2005-06-08 |
1801400775 | Dbt of Maryland, LLC | Clinic/Center | 6220 Georgetown Blvd Ste C, Eldersburg, MD 21784-6417 | 2020-09-08 |
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1942807987 | Ray of Hope Counseling Center LLC | Clinic/Center | 48 Wedge Way, Pikesville, MD 21208-1210 | 2020-10-02 |
1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
1871109181 | Journey Health Center | Clinic/Center | 1808 Woodlawn Dr Ste O, Gwynn Oak, MD 21207-4023 | 2020-09-22 |
1801402656 | Desicare LLC | Clinic/Center | 7712 West Shore Road, Pasadena, MD 21122-1519 | 2020-09-17 |
1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
Find all providers with the same taxonomy |
City | ELDERSBURG |
Zip Code | 21784 |
Please comment or provide details below to improve the information on CONGRUENT COUNSELING SERVICES, LLC.
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.