CPT

Organization Active NPI Professional Counselor · Cumberland, MD

NPI 1144612409 · NPPES record last updated Jul 15, 2015

Key facts

NPI
1144612409
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
LC5614 (MD)
Legal business name
CPT
Practice address
249 Henderson Ave
Cumberland, MD 21502-1638
Phone
(240) 362-7444
NPI assigned
Feb 24, 2015
Organization subpart
No

Authorized official

Name
James Schnably
Title
Owner
Phone
(214) 435-4752

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150804004819 MD Part B Supplier - Clinic/Group Practice 6204140254 Receives reassigned benefits from 14 practitioners
Practice locations: Cumberland, MD

National Provider Directory

Tax ID family
CPT LLC (5 organizations share this tax ID)

Locations

301 Henderson Ave
Ste B
Cumberland, MD 21502
Phone (240) 362-7444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X LC5614 MD Yes

Addresses

Primary practice location

249 Henderson Ave
Cumberland, MD 21502-1638

Mailing address

407 Valley St
Cumberland, MD 21502-1550

Other names

  • potomac behavioral and occupational therapy Other name

Other providers in Cumberland, MD

All providers in Cumberland, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.