NPIMap

Organization Active NPI

Channel Marker, Inc.

  • Mental Health Counselor
  • Easton, MD
National Provider Identifier
1164639209
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANNEL MARKER, INC.
Practice address
8865 Glebe Park Dr
Unit 1
Easton, MD 21601-7003
Phone
(410) 822-4619
Fax
(410) 822-0984
NPI assigned
May 17, 2007
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Catherine Cassell, LCSW-CNPI 1497014559
Title
Program Director
Phone
(410) 822-4619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X MD
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

8865 Glebe Park Dr
Unit 1
Easton, MD 21601-7003

Mailing address

8865 Glebe Park Dr
Unit 1
Easton, MD 21601-7003
Phone (410) 822-4619

Other identifiers 2

IdentifierTypeStateIssuer
3685021 00MedicaidMD
3685021 02MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130311000121 MD Part B Supplier - Clinic/Group Practice 0143475509 Receives reassigned benefits from 7 practitioners
Practice locations: Easton, MD

National Provider Directory

National Provider Directory
Tax ID family
Channel Marker Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

222 Port St
Easton, MD 21601
Phone (410) 822-4611

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1164639209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 GLEBE PARK DR",
            "address_2": "UNIT 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017003",
            "telephone_number": "410-822-4619",
            "fax_number": "410-822-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 GLEBE PARK DR",
            "address_2": "UNIT 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017003",
            "telephone_number": "410-822-4619",
            "fax_number": "410-822-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL MARKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-822-4619",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3685021 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3685021 02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.