C. O. a. C. H. Mental Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC3757 Issued in MD

Legal business name

C. O. A. C. H. MENTAL HEALTH, LLC

Practice address

5 Shawan Rd Ste 101C
Hunt Valley, MD 21030-1373

Phone

(443) 982-0692

Fax

(443) 982-0610

NPI assigned

Feb 5, 2013

Last updated

Feb 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwayne Green, LCPCNPI 1427359132

Title

Owner

Phone

(443) 506-6313

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

C O a C H Mental Health LLC2 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.

• C. O. a. C. H. Mental Health, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1912464835
  NPD tax ID

Locations

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.

• Dwayne T Green, LCPC

  • Mental Health Counselor
  • Hunt Valley, MD
  • NPI 1427359132
  NPD Authorized official

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1265771646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD STE 101C",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301373",
            "telephone_number": "443-982-0692",
            "fax_number": "443-982-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD STE 101C",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301373",
            "telephone_number": "443-982-0692",
            "fax_number": "443-982-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ferns Way",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212365305",
            "country_code": "US",
            "telephone_number": "443-506-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C. O. A. C. H. MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-506-6313",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH, BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "BH001372",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Burns
• Shaunie Burns
• Tracey Burns, D.P.T., A.T.C.
• Rodney Butler
• Jessica Byrd
• Georgette Cabeza
• Aaliyah Cade
• Ciarae Cade
• Antonio Cain
• Silvia Calderon

• Mental Health Counselor in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.