Active NPI
City of Frederick
- Mental Health Counselor
- Frederick, MD
National Provider Identifier
1093467904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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 FREDERICK
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln School-Based Health Center
- 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.
-
- Student Health Clinic/Center
- Frederick, MD
- NPI 1013145473
-
- Federally Qualified Health Center (FQHC)
- Frederick, MD
- NPI 1134660822
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.
-
- Federally Qualified Health Center (FQHC)
- Frederick, MD
- NPI 1588105316
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
- Cindy Lenzi Autism Waiver Provider LLC
- Cindy Lenzi Autism Waiver Provider LLC
- Circular Community Care
- Mary Cissel
- Citizens Care and Rehabilitation Center of Frederick, LLC
- City of Frederick
- City Park Psychological Services & Associates, LLC
- CJW Enterprise
- Miranda Christine Claney, M.A, BCBA
- William Francis Clare IV, LCSW-C
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.