NPIMap

Organization Active NPI

Project Chesapeake, LLC

  • Substance Abuse Rehabilitation Facility
  • Severn, MD
National Provider Identifier
1215725874
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PROJECT CHESAPEAKE, LLC
Practice address
907 Reece Rd
Severn, MD 21144-1801
Phone
(443) 440-5780
NPI assigned
Apr 25, 2025
Organization subpart
Yes
Parent organization
PROJECT CHESAPEAKE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Christina Peterson
Title
Billing Manager
Phone
(443) 440-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

907 Reece Rd
Severn, MD 21144-1801

Mailing address

185 Admiral Cochrane Dr Ste 225
Annapolis, MD 21401-7583
Phone (443) 440-5782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141030000682 MD Part B Supplier - Clinic/Group Practice 2769603034 Receives reassigned benefits from 24 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greensboro, MD; Harwood, MD; Leonardtown, MD; Edgewood, MD; Lothian, MD; Pasadena, MD; Prince Frederick, MD; Riva, MD…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Project Chesapeake LLC71 organizations share this tax ID, including this one
Part of
Project Chesapeake LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

Practitioners & affiliated clinicians

Practitioners 2

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1215725874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 225",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017583",
            "telephone_number": "443-440-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 REECE RD",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441801",
            "telephone_number": "443-440-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT CHESAPEAKE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROJECT CHESAPEAKE, LLC",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-440-5782"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.