NPIMap

Organization Active NPI

My Covenant Place Behavioral Health

  • Community Health Clinic/Center
  • Columbia, MD
National Provider Identifier
1245941830
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Practice address
10632 Little Patuxent Pkwy Ste 314-D
Columbia, MD 21044-3273
Phone
(410) 660-9190
NPI assigned
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MY COVENANT PLACE BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Latisha Carter
Title
President/Ceo
Phone
(410) 200-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

10632 Little Patuxent Pkwy Ste 314-D
Columbia, MD 21044-3273

Mailing address

10632 Little Patuxent Pkwy Ste 314-D
Columbia, MD 21044-3273
Phone (410) 660-9190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mcp-bh.org Direct

National Provider Directory

National Provider Directory
Tax ID family
My Covenant Place Behavioral Health7 organizations share this tax ID, including this one
Part of
My Covenant Place Behavioral Health

Other organizations with this tax ID 6

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

Locations

10632 Little Patuxent Pkwy
Ste 314D
Columbia, MD 21044
Phone 4102009290 ext. 107

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1245941830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 314-D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "410-660-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 314-D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "410-660-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COVENANT PLACE BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY COVENANT PLACE BEHAVIORAL HEALTH",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-200-9290"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mcp-bh.org",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@mcp-bh.org",
            "address_1": "10632 Little Patuxent Pkwy Ste 314-D",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.