Psychological Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC 1159 Issued in MD

Legal business name

PSYCHOLOGICAL COUNSELING SERVICES

Doing business as

None

Practice address

201 Prospect Ave
Suite 103
Hagerstown, MD 21742-3204

Phone

(240) 382-2207

Fax

(240) 347-4831

NPI assigned

Feb 22, 2014

Last updated

Feb 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Charles Brown Jr., LCPC

Title

Owner

Phone

(240) 382-2207

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393027200000",
    "number": "1013332410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE",
            "address_2": "SUITE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "240-382-2207",
            "fax_number": "240-347-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE",
            "address_2": "SUITE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "240-382-2207",
            "fax_number": "240-347-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-22",
        "last_updated": "2014-02-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-382-2207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCPC 1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.