NEW LIFE ADDICTION COUNSELING SERVICES, INC. (NPI# 1457629255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457629255 |
| Entity Type | Organization |
| Organization Name | NEW LIFE ADDICTION COUNSELING SERVICES, INC. |
| Practice Address |
2528 Mountain Rd #204 Pasadena MD 21122-7203 |
| Practice Telephone | 4102554475 |
| Practice Fax Number | 4102556277 |
| Mailing Telephone | 4102554475 |
| Mailing Fax Number | 4102556277 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | MS. BEVERLY ANN ERVIN (CEO/DIRECTOR) |
| Authorized Official Telephone | 4102554475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 200731200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073872842 | New Life Addiction Counseling Services, Inc. | Counselor | 2528 Mountain Rd, Suite 204, Pasadena, MD 21122-7203 | 2012-05-14 |
| Street Address |
2528 MOUNTAIN RD #204 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1851876148 | Rachel Collins | Counselor | 2528 Mountain Rd, Pasadena, MD 21122-7203 | 2018-10-02 |
| 1407393291 | Sara Burden | Community/Behavioral Health | 2528 Mountain Rd, Ste. 202, Pasadena, MD 21122-7203 | 2017-01-31 |
| 1851838643 | Evolve Life Centers Iop LLC | Clinic/Center | 2528 Mountain Rd, Pasadena, MD 21122 | 2017-01-31 |
| 1689128159 | Natesha Schwaderer | Counselor | 2528 Mountain Rd, Pasadena, MD 21122-7203 | 2016-08-12 |
| 1801264361 | Turning Leaf Wellness Center LLC | Counselor | 2528 Mountain Rd, Pasadena, MD 21122-7203 | 2015-09-14 |
| 1235566373 | New Life Addiction Counseling | Social Worker | 2528 Mountain Rd, Suite 204, Pasadena, MD 21122-7203 | 2013-10-03 |
| 1073872842 | New Life Addiction Counseling Services, Inc. | Counselor | 2528 Mountain Rd, Suite 204, Pasadena, MD 21122-7203 | 2012-05-14 |
| 1457610289 | Barbara J. Fowler | Counselor | 2528 Mountain Rd, Suite 204, Pasadena, MD 21122-7203 | 2012-05-14 |
| 1992064000 | Jason Christian Bumgarner | Counselor | 2528 Mountain Rd, Suite 204, Pasadena, MD 21122-7203 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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|---|---|---|---|---|
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1023401122 | Ara Gregory Barkev Darakjian | Psychiatry & Neurology | 236 W Mountain St # 109-e, Pasadena, CA 91103 | 2015-03-12 |
| 1104261270 | Kristina Eipl | Psychiatry & Neurology | 69 N Catalina Ave, Pasadena, CA 91106 | 2013-05-02 |
| 1154663177 | Howard I Wilson | Psychiatry & Neurology | 2935 Larmona Dr, Pasadena, CA 91107-1125 | 2013-03-18 |
| 1669743464 | John D. F. Tarr M.d., Ph.d., Inc | Psychiatry & Neurology | 280 South Arroyo Boulevard, Pasadena, CA 91105-1507 | 2012-01-25 |
| 1053688689 | Michael Carl Storrie-lombardi | Psychiatry & Neurology | 798 N Mar Vista Ave, Pasadena, CA 91104-4617 | 2011-11-28 |
| 1770714735 | Warren R Procci | Psychiatry & Neurology | 230 S San Rafael Ave, Pasadena, CA 91105-1525 | 2009-08-06 |
| 1598960130 | Foos Psychiatric Medical Group Inc | Psychiatry & Neurology | 2810 East Del Mar Blvd, Suite 11b, Pasadena, CA 91107 | 2007-06-15 |
| 1194842625 | Rogelio Leonardo Whyte | Psychiatry & Neurology | 595 East Colorado Blvd, Suite 507, Pasadena, CA 91101-2039 | 2007-03-22 |
| Find all providers in PASADENA | ||||
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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.