NPIMap

Organization Active NPI

My Covenant Place Behavioral Health

  • Community/Behavioral Health Agency
  • Largo, MD
National Provider Identifier
1326704073
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Practice address
9750 Apollo Drive
Suite B
Largo, MD 20774-2077
Phone
(301) 577-7307
Fax
(301) 476-0076
NPI assigned
Nov 16, 2021
Organization subpart
Yes
Parent organization
MY COVENANT PLACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Ms. Latisha Carter
Title
Ceo/Executive Director
Phone
(301) 577-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9750 Apollo Drive
Suite B
Largo, MD 20774-2077

Mailing address

10630 Little Patuxent Pkwy Ste 314D
Columbia, MD 21044-6216
Phone (410) 200-9290

Other practice location 1

10632 Little Patuxent Pkwy Ste 314-D
Columbia, MD 21044-3273
Phone (410) 200-9290 ext. 107

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mycovenantplace.org Direct

National Provider Directory

National Provider Directory
Tax ID family
My Covenant Place Behavioral Health7 organizations share this tax ID, including this one
Part of
My Covenant Place

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1326704073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 314D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "410-200-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 APOLLO DRIVE",
            "address_2": "SUITE B",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742077",
            "telephone_number": "301-577-7307",
            "fax_number": "301-476-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10632 Little Patuxent Pkwy Ste 314-D",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443273",
            "country_code": "US",
            "telephone_number": "410-200-9290 x107",
            "fax_number": "443-990-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY COVENANT PLACE BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY COVENANT PLACE",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-577-7307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mycovenantplace.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9750 Apollo Drive",
            "address_2": "Suite B",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207742077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.