Harford County Counseling Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

06960 Issued in MD

Legal business name

HARFORD COUNTY COUNSELING SERVICES, LLC.

Practice address

801 Chance CT
Street, MD 21154-1648

Phone

(410) 893-7217

NPI assigned

Oct 23, 2009

Last updated

Oct 23, 2009By 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

Shana Janine Mislak, LCSW-C,CCDCNPI 1609099654

Title

President/Psychotherapist

Phone

(410) 893-7217

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Shana Janine Mislak, MSW LCSW C CCDC

  • Clinical Social Worker
  • Street, MD
  • NPI 1609099654
  Authorized official Same address or phone
• Edward Leo Mislak, MSW LCSWC CACAD

  • Social Worker
  • Street, MD
  • NPI 1922144203
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1336475524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CHANCE COURT",
            "city": "STREET",
            "state": "MD",
            "postal_code": "21154",
            "telephone_number": "410-893-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CHANCE CT",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541648",
            "telephone_number": "410-893-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARFORD COUNTY COUNSELING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "MISLAK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-893-7217",
        "authorized_official_credential": "LCSW-C,CCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "06960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake EMS of Maryland Inc.
• Complete Mobile Diagnostics LLC
• Mary Beth Creighton, M.S., O.T./L
• Edward L. Mislak, LLC
• Rachael Lynn Guzman
• Peter Johnson, AA-C, PA-C
• Edward Leo Mislak, MSW LCSWC CACAD
• Shana Janine Mislak, MSW LCSW C CCDC
• Dana Lynn Reaves, LCSW-C
• Susan Jean Ruckel, MSW, LCSW-C

• Community/Behavioral Health Agency in Street, MD
• Providers in Street, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.