NPIMap

Organization Active NPI

Choice Clinical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenbelt, MD
National Provider Identifier
1205257524
Registry record updated Apr 11, 2016
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
CHOICE CLINICAL SERVICES, LLC
Practice address
111 Centerway
Suite 202
Greenbelt, MD 20770-1808
Phone
(240) 670-4050
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Taylor Cole, LCSW-CNPI 1144623430
Title
Owner/Therapist
Phone
(240) 670-4050

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

111 Centerway
Suite 202
Greenbelt, MD 20770-1808

Mailing address

125 Lakeside Dr
Greenbelt, MD 20770-1905

Other identifiers 1

IdentifierTypeStateIssuer
2564050 00MedicaidMD

National Provider Directory

National Provider Directory

Locations

8400 Baltimore Ave
Ste 300
College Park, MD 20740
Phone (240) 630-4137

111 Centerway
Ste 202
Greenbelt, MD 20770
Phone (240) 670-4050

111 Centerway
Ste C
Greenbelt, MD 20770
Phone (202) 731-3870

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1205257524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAKESIDE DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTERWAY",
            "address_2": "SUITE 202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701808",
            "telephone_number": "240-670-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "240-670-4050",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2564050 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.