McLean'S Couch Therapeutic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MCLEAN'S COUCH THERAPEUTIC SERVICES

Practice address

4103B Holbrook Rd
Randallstown, MD 21133-1116

Phone

(443) 983-8436

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Nakitta McLean, LCPCNPI 1669969358

Title

Coo

Phone

(443) 983-8436

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Britney Erica Buckson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1821698853

  MD

  Medicare reassignment NPD
• Nakitta McLean, LCPC; LCADC-S

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1669969358
  NPD Authorized official
• Jamon McLean

  • Addiction (Substance Use Disorder) Counselor
  • Catonsville, MD
  • NPI 1134731805
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1114523966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103B HOLBROOK RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331116",
            "telephone_number": "443-983-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103B HOLBROOK RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331116",
            "telephone_number": "443-983-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN'S COUCH THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "NAKITTA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-983-8436",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcleanscouch@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "4103B Holbrook Rd",
            "city": "Randallstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211331116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brynne Matthews
• Ria Terrelle McCormick
• Rachel Elizabeth McDonald
• Nichelle McGirt
• Gina Patrice McKnight-Smith, PHARMD, MBA, BCPS
• Megan Elizabeth McNeill, LCSW C
• MD Family Dental Care, PC
• Mdics Rehabilitative Services - Ltcaco LLC
• Mdics Rehabilitative Services LLC
• Harinath Meda, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.