Elevation Therapy Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELEVATION THERAPY GROUP LLC

Practice address

1110 Benfield Blvd Ste H
Millersville, MD 21108-2644

Phone

(443) 845-0012

Fax

(443) 276-2800

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Adam L Iacarino, LCPCNPI 1295083277

Title

Executive Director

Phone

(443) 845-0012

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Lawrence Iacarino, LCPC

  • Professional Counselor
  • Millersville, MD
  • NPI 1295083277
  NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1265016539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 OLD ANNAPOLIS RD STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452129",
            "telephone_number": "443-845-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD STE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082644",
            "telephone_number": "443-845-0012",
            "fax_number": "443-276-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "IACARINO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-845-0012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

• Effective Integrative Healthcare LLC
• Effective Integrative Healthcare, LLC
• Kathryn Egolf, LCSW-C
• Maryrose Eichelberger, M.D.
• Nelli El-Ghazal, PH.D.
• Andrea Ellis, LGPC
• Kerry Ellis, LCSW-C
• Andrew Joseph Eloshway, LCPC
• Engaged Health Group LLC
• Eric Harold English, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Millersville, MD
• Providers in Millersville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.