Organization Active NPI

City of Frederick

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1093467904
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CITY OF FREDERICK
Practice address
100 S Market St
Frederick, MD 21701-5527
Phone
(301) 600-1393
NPI assigned
Jan 21, 2022
Organization subpart
Yes
Parent organization
CITY OF FREDERICKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Cindy Holden, LCSW-C
Title
Supervisor of Behavioral Health
Phone
(301) 305-8540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 S Market St
Frederick, MD 21701-5527

Mailing address

100 S Market St
Frederick, MD 21701-5527
Phone (301) 600-1393

Other names 1

  • Community Action Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lincoln School-Based Health Center3 organizations share this tax ID, including this one
Part of
Lincoln School-Based Health Center

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1093467904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015527",
            "telephone_number": "301-600-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015527",
            "telephone_number": "301-600-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREDERICK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF FREDERICK",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "SUPERVISOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "301-305-8540",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Action Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.