Organization Active NPI

Evergrown Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1073420519
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EVERGROWN COUNSELING
Practice address
10101 Twin Rivers Rd Apt 261
Columbia, MD 21044-6553
Phone
(917) 822-2588
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Foram Pare, LGPC
Title
Owner
Phone
(917) 822-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10101 Twin Rivers Rd Apt 261
Columbia, MD 21044-6553

Mailing address

10101 Twin Rivers Rd Apt 261
Columbia, MD 21044-6553
Phone (917) 822-2588

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1073420519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 TWIN RIVERS RD APT 261",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446553",
            "telephone_number": "917-822-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 TWIN RIVERS RD APT 261",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446553",
            "telephone_number": "917-822-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGROWN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "PARE",
        "authorized_official_first_name": "FORAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-822-2588",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.