Active NPI
Lisa Cohen
- Addiction (Substance Use Disorder) Counselor
- Columbia, MD
National Provider Identifier
1174900617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AC1950
- Practice address
- 10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264 - Phone
- (410) 740-8066
- Fax
- (410) 740-8068
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC1950 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264
Mailing address
10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264
Phone (410) 740-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1950 | MD | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congruent Counseling Services LLC | Past | Accepting new patients | |
| Congruent Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eldersburg, MD
- NPI 1124722178
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eldersburg, MD
- NPI 1295133692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1174900617",
"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": "210443264",
"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": "210443264",
"telephone_number": "410-740-8066",
"fax_number": "410-740-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC1950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.