UPPER BAY COUNSELING& SUPPORT SERVICES, INC (NPI# 1679927917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679927917 |
| Entity Type | Organization |
| Organization Name | UPPER BAY COUNSELING& SUPPORT SERVICES, INC |
| Practice Address |
200 Booth St Elkton MD 21921-5657 |
| Practice Telephone | 4109963400 |
| Practice Fax Number | 4103983416 |
| Mailing Telephone | 4109963400 |
| Mailing Fax Number | 4103983416 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | DR. RICH BAYER (CEO) |
| Authorized Official Telephone | 4109963400 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
100739 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 922801200 | 05 |
| Street Address |
200 BOOTH ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1700483427 | Stephen Paul Kline | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-10-06 |
| 1760098891 | Sydney Shaye Fittro | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-09-23 |
| 1043829054 | Alaina Breanne Kahn | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-07-26 |
| 1619594488 | Helen Tracey | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-06-28 |
| 1003449661 | Rebecca M Hammonds | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-02-21 |
| 1972149995 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-25 |
| 1063057644 | Heather Miller | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-07 |
| 1114576329 | Kaitlyn Nicole Latham | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-10 |
| 1477102812 | Valerie Nicole Krisa | Specialist/Technologist | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| 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 |
|---|---|---|---|---|
| 1548742554 | Advantage Psychiatric Services LLC | Clinic/Center | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2018-09-06 |
| 1316912652 | Upper Bay Counseling & Support Services, Inc. | Clinic/Center | 200 Booth Street, Elkton, MD 21921 | 2006-02-21 |
| 1538767504 | Cecil County Health Department | Clinic/Center | 401 Bow St, Elkton, MD 21921-5501 | 2020-10-13 |
| 1972149995 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-25 |
| 1699277475 | Project Chesapeake, LLC | Clinic/Center | 111 E Main St Ste B, Elkton, MD 21921-5996 | 2018-03-07 |
| 1417477993 | Union Hospital of Cecil County | Clinic/Center | 111 W High St Ste 204, Elkton, MD 21921-8611 | 2017-06-26 |
| 1255861225 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2017-06-13 |
| 1942659248 | Upper Bay Counseling&support Services | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2016-06-07 |
| 1437543774 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2015-03-25 |
| 1346634680 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2015-03-25 |
| Find all providers in ELKTON | ||||
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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.