Active NPI
Advanced Behavioral Health Counseling Services, LLC
- Mental Health Counselor
- Salisbury, MD
National Provider Identifier
1104546035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES, LLC
- Practice address
- 110 W Church St Ste D
Salisbury, MD 21801-5001 - Phone
- (443) 840-0811
- Fax
- (410) 543-1901
- NPI assigned
- Aug 31, 2022
- Last updated
- Aug 31, 2022
- Organization subpart
- Yes
- Parent organization
- ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marsha Beckett, LCPC
- Title
- Administrator/Therapist
- Phone
- (443) 840-0811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
110 W Church St Ste D
Salisbury, MD 21801-5001
Mailing address
PO Box 265
Eden, MD 21822-0265
Phone (443) 840-0811
National Provider Directory
National Provider Directory- Part of
- Advanced Behavioral Health Counseling Services LLC
Locations
110 W Church St
Ste D
Salisbury, MD 21801
Phone (443) 840-0811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Eden, MD
- NPI 1558572883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1104546035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "EDEN",
"state": "MD",
"postal_code": "218220265",
"telephone_number": "443-840-0811",
"fax_number": "410-543-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W CHURCH ST STE D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015001",
"telephone_number": "443-840-0811",
"fax_number": "410-543-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "BECKETT",
"authorized_official_first_name": "MARSHA",
"authorized_official_title_or_position": "ADMINISTRATOR/THERAPIST",
"authorized_official_telephone_number": "443-840-0811",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.