NPIMap

Organization Active NPI

Congruent Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1164820601
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONGRUENT COUNSELING SERVICES LLC
Practice address
10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-6278
Phone
(410) 740-8066
Fax
(410) 740-8068
NPI assigned
Dec 16, 2014
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CONGRUENT COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Amy Rottier
Title
Cfo
Phone
(410) 740-8066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-6278

Mailing address

10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-6278
Phone (410) 740-8066

Other identifiers 1

IdentifierTypeStateIssuer
4231881 00MedicaidMD

Other names 1

  • CCS Columbia-Facility (Medicaid) Other name

National Provider Directory

National Provider Directory
Tax ID family
CCS-Columbia18 organizations share this tax ID, including this one
Part of
CCS-Columbia

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1164820601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446278",
            "telephone_number": "410-740-8066",
            "fax_number": "410-740-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446278",
            "telephone_number": "410-740-8066",
            "fax_number": "410-740-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRUENT COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONGRUENT COUNSELING SERVICES",
        "enumeration_date": "2014-12-16",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ROTTIER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-740-8066"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4231881 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Columbia-Facility (Medicaid)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCS Columbia-Facility (Medicaid)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.