Bayside Therapy, PC
Organization Active NPI Professional Counselor · North Beach, MD
NPI 1124282371 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1124282371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2600 (MD)
- Legal business name
- BAYSIDE THERAPY, PC
- Practice address
- 8835 Chesapeake Avenue
North Beach, MD 20714 - Phone
- (301) 399-4696
- Fax
- (410) 741-3047
- NPI assigned
- Jul 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Martha Kimberly Kesler, PH.D., LCPC
- Title
- Ceo
- Phone
- (301) 399-4696
Practitioners 1
-
Martha K Kesler, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240523000235 | MD | Part B Supplier - Clinic/Group Practice | 0143662007 |
Receives reassigned benefits from 1 practitioner Practice locations: North Beach, MD |
National Provider Directory
Locations
8835 Chesapeake Ave
North Beach, MD 20714
Phone (301) 399-4696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 2600 | MD | Yes |
Addresses
Primary practice location
8835 Chesapeake Avenue
North Beach, MD 20714
Mailing address
PO Box 762
North Beach, MD 20714-0762
Phone (301) 399-4696
Other providers in North Beach, MD
- Renita D Alexander
- Ernestina Del Rosario Atkins
- Melissa Boggs
- Susan Brayford
- BRK the Cycle Nutrition, LLC
- Calvert County Health Department
- Calverthealth Medical Group, LLC
All providers in North Beach, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.