The Western Maryland Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE WESTERN MARYLAND COUNSELING CENTER

Practice address

322 E Antietam St Ste 101
Hagerstown, MD 21740-5736

Phone

(301) 733-2431

Fax

(301) 733-2432

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Michelle Owusu, GROUP CLINIC

Title

Owner

Phone

(301) 733-2431

Specialties & licenses 1

Addresses

Tax ID family

The Western Maryland Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western Maryland Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1356052716
  NPD tax ID

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1043617517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405736",
            "telephone_number": "301-733-2431",
            "fax_number": "301-733-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405736",
            "telephone_number": "301-733-2431",
            "fax_number": "301-733-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WESTERN MARYLAND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-733-2431",
        "authorized_official_credential": "GROUP CLINIC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mental Health Center of Western Maryland, Inc.
• The Mental Health Center of Western Maryland, Inc.
• The Mental Health Center of Western Maryland, Inc.
• The W House of Hagerstown Foundation, Inc (Lasting Change Recovery Solutions for Women)
• The W House of Hagerstown Foundation, Inc
• The Western Maryland Counseling Center
• Heather Phoebe Marie Theibert, D.O.
• Claudia Theis, CRNA
• Radu M Theodoru, MD
• Therapeutic Journey Alliance

• Community/Behavioral Health Agency in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.