NPIMap

Organization Active NPI

Access Counseling Services of Columbia LLC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1306068440
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00970 Issued in MD
Legal business name
ACCESS COUNSELING SERVICES OF COLUMBIA LLC
Practice address
5005 Straight Star Place
Columbia, MD 21044-5902
Phone
(410) 995-5555
Fax
(410) 995-5556
NPI assigned
May 2, 2007
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Jeffrey Louis Moss, PH.D, LCSW-C
Title
Licensed Clinical Social Worker
Phone
(410) 995-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 00970 MD Primary

Addresses

Primary practice location

5005 Straight Star Place
Columbia, MD 21044-5902

Mailing address

5005 Straight Star Place
Columbia, MD 21044-5902
Phone (410) 995-5555

Other identifiers 4

IdentifierTypeStateIssuer
7125148OtherAETNA US HEALTHCARE
H124OtherMDCAREFIRST BLUECHOICE
KH91ACOtherMDCAREFIRST BLUECROSS
216390OtherMANAGED HEALTH NETWORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1306068440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 STRAIGHT STAR PLACE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445902",
            "telephone_number": "410-995-5555",
            "fax_number": "410-995-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 STRAIGHT STAR PLACE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445902",
            "telephone_number": "410-995-5555",
            "fax_number": "410-995-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS COUNSELING SERVICES OF COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-995-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "00970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7125148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "H124",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS",
            "identifier": "KH91AC",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "216390",
            "state": null
        }
    ],
    "endpoints": [],
    "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 Oct 11, 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.