NPIMap

Organization Active NPI

Congruent Counseling Services, LLC

  • Professional Counselor
  • Salisbury, MD
National Provider Identifier
1215744610
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONGRUENT COUNSELING SERVICES, LLC
Practice address
100 N Division St
Salisbury, MD 21801-5039
Phone
(410) 740-8066
Fax
(410) 740-8068
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Mark David Donovan, LCPCNPI 1912909730
Title
Lcadc
Phone
(410) 740-8066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

100 N Division St
Salisbury, MD 21801-5039

Mailing address

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

National Provider Directory

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

Other organizations with this tax ID 17

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

View all 17

Locations

100 N Division St
Salisbury, MD 21801

Practitioners & affiliated clinicians

Practitioners 1

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": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1215744610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 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": "100 N DIVISION ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015039",
            "telephone_number": "410-740-8066",
            "fax_number": "410-740-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRUENT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LCADC",
        "authorized_official_telephone_number": "410-740-8066",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.