Individual provider Active NPI

George Thomas Moran Jr.

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1306293410
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7032 Issued in MD
Practice address
2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6187
Phone
(410) 893-4600
Fax
(443) 640-4358
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC7032 MD Primary

Addresses

Primary practice location

2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6187

Mailing address

1208 E Churchville Rd
Bel Air, MD 21014-3442
Phone (410) 893-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211000232 MD Practitioner - Mental Health Counselor 0749710416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

606 Baltimore Ave
Suite 406
Baltimore, MD 21204-4073
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Community Services CurrentSince Feb 1, 2025 Accepting new patients
Safe Harbor Behavioral Care, LLC Professional CurrentSince Feb 1, 2025 Accepting new patients

Locations

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1705 Conowingo Rd
Bel Air, MD 21014
Phone (410) 941-0029

2502 S Tollgate Rd
Bel Air, MD 21015
Phone (410) 638-3920

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone 4108934600 ext. 223

260 Gateway Dr
Ste 19C
Bel Air, MD 21014

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

99 Idlewild St
Bel Air, MD 21014

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2100 Conowingo Rd
Bel Air, MD 21014
Phone (410) 638-4170

30 E Lee St
Bel Air, MD 21014

100 Osborne Pkwy
Forest Hill, MD 21050
Phone (410) 638-4262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1306293410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143442",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD",
            "address_2": "SUITE 119",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156187",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.