NPIMap

Organization Active NPI

United Church of Christ of Annapolis/Cornerstone Counseling Ctr.

Doing business as Cornerstone Pastoral Care & Counseling Center

  • Mental Health Counselor
  • Edgewater, MD
National Provider Identifier
1225327141
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNITED CHURCH OF CHRIST OF ANNAPOLIS/CORNERSTONE COUNSELING CTR.
Doing business as
Cornerstone Pastoral Care & Counseling Center
Practice address
8 Carvel Cir
Edgewater, MD 21037-1005
Phone
(410) 266-8596
Fax
(410) 266-9740
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED CHURCH OF CHRIST OF ANNAPOLISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Mr. Richard Charles Pehle, MSWNPI 1376776104
Title
Clinical Social Worker
Phone
(301) 466-1713

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Pastoral Counselor 101YP1600X NU
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

8 Carvel Cir
Edgewater, MD 21037-1005

Mailing address

8 Carvel Circle
Edgewater, MD 21037
Phone (410) 266-8596

Other names 1

  • Cornerstone Pastoral Care & Counseling Center Doing business as

National Provider Directory

National Provider Directory
Part of
United Church of Christ of Annapoliscornerstone Counseling Ctr

Locations

8 Carvel Cir
Edgewater, MD 21037
Phone (410) 266-8596

Practitioners & affiliated clinicians

Practitioners 4

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": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1225327141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CARVEL CIRCLE",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "21037",
            "telephone_number": "410-266-8596",
            "fax_number": "410-266-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CARVEL CIR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371005",
            "telephone_number": "410-266-8596",
            "fax_number": "410-266-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH OF CHRIST OF ANNAPOLIS/CORNERSTONE COUNSELING CTR.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH OF CHRIST OF ANNAPOLIS",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PEHLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-466-1713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pastoral Care & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.