Upper Bay Counseling & Support Services, Inc.

Key facts

NPI: 1316912652
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name: UPPER BAY COUNSELING & SUPPORT SERVICES, INC.
Practice address: 200 Booth Street
Elkton, MD 21921
Phone: (410) 996-5104
Fax: (410) 996-5197
NPI assigned: Feb 21, 2006
Organization subpart: No

Authorized official

Name: Mrs. Suanne Blumberg, LCPC
Title: Ceo
Phone: (410) 996-5104

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1114252020

Same enrollment O20040121000129
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1841525755

Same enrollment O20040121000129

Corporate family (same tax ID) 21

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

Upper Bay Counseling & Support Services Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1629524186

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1023496270

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Cecilton, MD · NPI 1083165880

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Cecilton, MD · NPI 1144771908

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1245760214

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1255861225

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1346634680

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1437543774

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · North East, MD · NPI 1568034007

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Cecilton, MD · NPI 1689123291

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · North East, MD · NPI 1700552171

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Cecilton, MD · NPI 1952852717

NPD tax ID
Upper Bay Counseling & Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1972149995

NPD tax ID
Upper Bay Counseling & Support Services, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1437316494

NPD tax ID
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1114252020

NPD tax ID
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Havre de Grace, MD · NPI 1184951907

NPD tax ID
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1255663365

NPD tax ID
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1275860090

NPD tax ID
Upper Bay Counseling and Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1841525755

NPD tax ID
Upper Bay Counseling& Support Services, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1679927917

NPD tax ID
Upper Bay Counseling&Support Services Mental Health Clinic/Center (Including Community Mental Health Center) · Elkton, MD · NPI 1942659248

NPD tax ID

Practitioners 34

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

Rebecca Lynn Abramowicz, LCPC, NCC, CCDC Professional Counselor · Elkton, MD · NPI 1588858682

Medicare reassignment Care Compare group NPD MD
John Backert, LCPC Professional Counselor · Baltimore, MD · NPI 1750830170

Medicare reassignment Care Compare group NPD MD
Melinda Campbell, LCPC Professional Counselor · Elkton, MD · NPI 1518122399

Medicare reassignment Care Compare group NPD MD
Paul August Gianakon, M.D. Psychiatry Physician · Elkton, MD · NPI 1578698486

Medicare reassignment Care Compare group NPD MD
Carolyn J. King, LCSW-C Clinical Social Worker · Elkton, MD · NPI 1164673034

Medicare reassignment Care Compare group NPD MD
Christine Nicolello, LMHC Mental Health Counselor · Havre de Grace, MD · NPI 1689145336

Medicare reassignment Care Compare group NPD MD · SINGLE SPECIALTY
Kwabena Owusu Psychiatry Physician · Towson, MD · NPI 1215580816

Medicare reassignment Care Compare group NPD MD · SINGLE SPECIALTY
Darlene Ramsey Social Worker · Elkton, MD · NPI 1689194102

Medicare reassignment Care Compare group NPD MD
Susan Gay Robbins, L.C.S.W.-C. Mental Health Counselor · Havre de Grace, MD · NPI 1861722597

Medicare reassignment Care Compare group NPD MD
Ralph Dalton Scoville, M.D. Psychiatry Physician · Havre de Grace, MD · NPI 1669498168

Medicare reassignment Care Compare group NPD MD
Michelle Rae Shaneyfelt-Jarzynski, CRNP-PMHNP Psychiatric/Mental Health Nurse Practitioner · Bel Air, MD · NPI 1912631813

Medicare reassignment Care Compare group NPD MD
Robert E. Wilson, PSY. D. Clinical Psychologist · Elkton, MD · NPI 1386794519

Medicare reassignment Care Compare group NPD MD
Margaret M Coen Rollins, MSW, LCSW-C Clinical Social Worker · Newark, DE · NPI 1407193212

Medicare reassignment Care Compare group NPD MD
Cynthia Ann Edwards, PSYD., NCC, LPCMH Professional Counselor · Wilmington, DE · NPI 1821428046

Medicare reassignment Care Compare group NPD MD
Shannon Kay Macturk, M.A LCPC Professional Counselor · Lincoln University, PA · NPI 1073958179

Medicare reassignment Care Compare group NPD MD
Abigail Doreen Miller Mental Health Counselor · Kennesaw, GA · NPI 1669008033

Medicare reassignment Care Compare group NPD MD · SINGLE SPECIALTY
Hina Aamir, M.D. Psychiatry Physician · Aberdeen, MD · NPI 1376777979

Medicare reassignment NPD MD
Allan Scott Berkowitz, MSW Mental Health Counselor · Elkton, MD · NPI 1720130982

Medicare reassignment NPD MD
Deborah Dalrymple, LCSW-C Mental Health Counselor · Elkton, MD · NPI 1396836128

Medicare reassignment NPD MD
Natalie Hart Psychiatric/Mental Health Registered Nurse · Baltimore, MD · NPI 1851553911

Medicare reassignment NPD MD
Lateshia Jackson Psychiatric/Mental Health Nurse Practitioner · Easton, MD · NPI 1063840262

Medicare reassignment NPD MD
Laura Keirsey, LCSW-C Clinical Social Worker · Bel Air, MD · NPI 1073663720

Medicare reassignment NPD MD
Rebecca Anne Kiersznowski, MSW, CCDC, CCDP-D Clinical Social Worker · Elkton, MD · NPI 1437201019

Medicare reassignment NPD MD
Shneur Zalman Marshall Clinical Social Worker · Baltimore, MD · NPI 1063889889

Medicare reassignment NPD MD
Kerry Kathleen McCommons, LCPC Professional Counselor · Elkton, MD · NPI 1780914796

Medicare reassignment NPD MD

View all 34

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040121000129	MD	Part B Supplier - Clinic/Group Practice	3971405085	Receives reassigned benefits from 31 practitioners 2 other NPIs on this enrollment Practice locations: Havre de Grace, MD; North East, MD; Elkton, MD

National Provider Directory

Tax ID family: Upper Bay Counseling Support Services Inc (22 organizations share this tax ID)

Locations

200 Booth St
Elkton, MD 21921
Phone (410) 996-3400

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X			Yes

Addresses

Primary practice location

200 Booth Street
Elkton, MD 21921

Mailing address

200 Booth Street
Elkton, MD 21921
Phone (410) 996-5104

Other identifiers

Identifier	Type	State	Issuer
922801200	Medicaid	MD
922500500	Other	MD	MEDICAID INTENSIVE CASE M
922900100	Other	MD	MEDICAID REHAB

Other providers in Elkton, MD

All providers in Elkton, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.