CARROLL COUNSELING CENTER, LLC (NPI# 1518117761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518117761 |
| Entity Type | Organization |
| Organization Name | CARROLL COUNSELING CENTER, LLC |
| Practice Address |
1380 Progress Way Suite 101 Eldersburg MD 21784-6464 |
| Practice Telephone | 4105495181 |
| Practice Fax Number | 4105495182 |
| Mailing Telephone | 4105495181 |
| Mailing Fax Number | 4105495182 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | MRS. JOAN MEGEE RAZNICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105495181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 836102900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710999784 | Carroll Counseling Center, LLC | Psychologist | 1380 Progress Way, Suite 101, Eldersburg, MD 21784-6464 | 2006-08-11 |
| Street Address |
1380 PROGRESS WAY SUITE 101 |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-6464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097161 | Mary Alice S Shores | Nurse Practitioner | 1380 Progress Way, Suite 114, Eldersburg, MD 21784-6464 | 2005-10-20 |
| 1366818056 | Carroll County Ambulatory Surgical Center, LLC | Clinic/Center | 1380 Progress Way, Suite 114, Eldersburg, MD 21784-6464 | 2015-08-17 |
| 1922400720 | Mary L Udseth | Physician Assistant | 1380 Progress Way, Suite 114, Eldersburg, MD 21784-6464 | 2014-09-23 |
| 1003155870 | Sandra Lashley | Psychologist | 1380 Progress Way, Suite101, Eldersburg, MD 21784-6464 | 2013-02-13 |
| 1144506403 | Jacquelyn Lee Welch | Physical Therapist | 1380 Progress Way, Eldersburg, MD 21784-6464 | 2011-10-31 |
| 1871878785 | Pamela Hain-koenigsburg | Psychologist | 1380 Progress Way, Ste 101, Eldersburg, MD 21784-6464 | 2011-10-12 |
| 1407163439 | Donnell I James Jr. | Physician Assistant | 1380 Progress Way, Suite 112, Eldersburg, MD 21784-6464 | 2010-09-13 |
| 1548574445 | Holly A Kilby | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784-6464 | 2010-08-03 |
| 1417142290 | Connie Lynn Blizzard | Psychologist | 1380 Progress Way, #101, Eldersburg, MD 21784-6464 | 2007-09-13 |
| 1215120951 | Carrolltowne Medical Center P.a. | Family Medicine | 1380 Progress Way, Suite112, Eldersburg, MD 21784-6464 | 2007-08-27 |
| Find all providers in the same location | ||||
| 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 | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512543 | Michael Brody | Psychologist | 10412 Crossing Creek Rd, Potomac, MD 20854-4201 | 2008-06-20 |
| 1982811709 | Jane E Jackson | Psychologist | 3512 Sandy Ct, Kensington, MD 20895-1420 | 2007-05-17 |
| 1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
| 1063809549 | Chesapeake Psychological Services | Psychologist | 8607 Cedar St, Silver Spring, MD 20910-4324 | 2015-04-22 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1174961700 | The Robert Sylvia Group | Psychologist | 1800 N Charles St, Suite 206, Baltimore, MD 21201-5920 | 2013-06-05 |
| 1780853325 | Shore Psychiatric Associates, LLC | Psychologist | 8221 Teal Dr, Suite 406, Easton, MD 21601-7227 | 2008-02-28 |
| 1467663989 | Mark Weist | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-05-25 |
| 1730143991 | Emerald Health Center, Inc | Psychologist | 217 Main St, Reisterstown, MD 21136-1213 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.