Connect Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC3719 Issued in MD

Legal business name

CONNECT COUNSELING SERVICES, LLC

Practice address

7226 Lee Deforest Dr
Suite 206
Columbia, MD 21046-3239

Phone

(410) 656-2646

Fax

(410) 709-9012

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Elena Melania O'Hatnick, LCPC

Title

Principal

Phone

(410) 656-2646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1114466406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 LEE DEFOREST DR",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463239",
            "telephone_number": "410-656-2646",
            "fax_number": "410-709-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 LEE DEFOREST DR",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463239",
            "telephone_number": "410-656-2646",
            "fax_number": "410-709-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "O'HATNICK",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "MELANIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "410-656-2646",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.