CARROLL COUNTY YOUTH SERVICE BUREAU INC: COURT STREET SERVICES (NPI# 1679860381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679860381 |
| Entity Type | Organization |
| Organization Name | CARROLL COUNTY YOUTH SERVICE BUREAU INC: COURT STREET SERVICES |
| Practice Address |
98 N Court St Westminster MD 21157-9300 |
| Mailing Address |
59 Kate Wagner Rd Westminster MD 21157-6957 |
| Practice Telephone | 4108486100 |
| Practice Fax Number | 4108765187 |
| Mailing Telephone | 4108482500 |
| Mailing Fax Number | 4108763016 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | LYNN DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4108482500 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | Y |
| Parent Organization Name | CARROLL COUNTY YOUTH SERVICE BUREAU, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
904243 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 420658400 | 05 |
| Street Address |
98 N COURT ST |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174556153 | Junction,inc | Substance Abuse Rehabilitation Facility | 98 N Court St, Westminster, MD 21157-9300 | 2006-07-10 |
| 1760751390 | Catherine Mellon-ketchum | Counselor | 98 N Court St, Westminster, MD 21157-9300 | 2011-12-28 |
| 1275677080 | Junction, Inc. | Community/Behavioral Health | 98 N Court St, Westminster, MD 21157-9300 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| 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 |
|---|---|---|---|---|
| 1851912513 | Hilda's Place Behavioral Health Organization | Clinic/Center | 684 Poole Rd, Westminster, MD 21157-6171 | 2020-05-04 |
| 1982869244 | Associated Catholic Charities | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2008-07-25 |
| 1871669721 | Carroll County Youth Service Bureau, Inc. | Clinic/Center | 59 Kate Wagner Rd., Westminster, MD 21157 | 2006-11-24 |
| 1558831602 | Quest Counseling Services LLC | Clinic/Center | 8461 Turnpike Dr Ste 207, Westminster, CO 80031-4379 | 2018-12-02 |
| 1194220467 | Family and Childrens Services of Central Maryland Inc | Clinic/Center | 22 N Court St, Westminster, MD 21157-5110 | 2018-03-28 |
| 1659800142 | Access Carroll, Inc. | Clinic/Center | 10 Distillery Rd Ste 200, Westminster, MD 21157-5344 | 2017-06-08 |
| 1770980245 | Genesis Treatment Services | Clinic/Center | 1106 Business Pkwy S, Ste B, Westminster, MD 21157-3054 | 2014-12-01 |
| 1104188986 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2012-06-08 |
| 1124322342 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2011-01-03 |
| 1023339595 | Associated Catholic Charities, Inc. | Clinic/Center | 255 Clifton Blvd, Suite 302, Westminster, MD 21157-4690 | 2010-06-18 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on CARROLL COUNTY YOUTH SERVICE BUREAU INC: COURT STREET SERVICES.
| 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.