NPIMap

Organization Active NPI

Guide Program, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
National Provider Identifier
1255455192
Registry record updated Aug 22, 2020
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
GUIDE PROGRAM, INC.
Practice address
18321 Lost Knife Cir
101
Gaithersburg, MD 20886-0305
Phone
(301) 948-1000
Fax
(301) 937-4378
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott K. Birdsong, LCSW-C
Title
Executive Director & President
Phone
(301) 549-3602

Specialties & licenses 1

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

Addresses

Primary practice location

18321 Lost Knife Cir
101
Gaithersburg, MD 20886-0305

Mailing address

8643 Cherry LN
Laurel, MD 20707-6200
Phone (301) 549-3602

Other names 1

  • GUIDE Independence PRP - Montgomery TAY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guide Independence PRP - Montgomery Tay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8643 Cherry Ln
Laurel, MD 20707
Phone (301) 549-3602

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255455192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076200",
            "telephone_number": "301-549-3602",
            "fax_number": "301-549-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 LOST KNIFE CIR",
            "address_2": "101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860305",
            "telephone_number": "301-948-1000",
            "fax_number": "301-937-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDE PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRDSONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & PRESIDENT",
        "authorized_official_telephone_number": "301-549-3602",
        "authorized_official_name_prefix": "Mr.",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUIDE Independence PRP - Montgomery TAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.