Organization Active NPI

Maryland Integrative Counseling Associates, LLC

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1205238169
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARYLAND INTEGRATIVE COUNSELING ASSOCIATES, LLC
Practice address
7520 Standish PL
Ste 190
Rockville, MD 20855-7706
Phone
(301) 525-2029
NPI assigned
Sep 23, 2014
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Mr. Benjamin L Schwinke, LCPCNPI 1811265267
Title
Owner
Phone
(301) 525-2029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7520 Standish PL
Ste 190
Rockville, MD 20855-7706

Mailing address

7520 Standish PL
Ste 190
Rockville, MD 20855-7706
Phone (301) 525-2029

Other identifiers 1

IdentifierTypeStateIssuer
526704800MedicaidMD

National Provider Directory

National Provider Directory

Locations

15 Wormans Mill Ct
Ste M
Frederick, MD 21701
Phone (240) 457-9887

7520 Standish Pl
Ste 190
Rockville, MD 20855
Phone (301) 237-0535

Practitioners & affiliated clinicians

Practitioners 11

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": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1205238169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 STANDISH PL",
            "address_2": "STE 190",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208557706",
            "telephone_number": "301-525-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 STANDISH PL",
            "address_2": "STE 190",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208557706",
            "telephone_number": "301-525-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INTEGRATIVE COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SCHWINKE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-525-2029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526704800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.