Organization Active NPI

Western Maryland Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1356052716
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WESTERN MARYLAND COUNSELING CENTER INC
Doing business as
Western Maryland Counseling Center Inc
Western Maryland Counseling Center, INC
Practice address
359 W Patrick St
Frederick, MD 21701-4871
Phone
(240) 257-6830
NPI assigned
Dec 7, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN MARYLAND COUNSELING CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Mende Ellen Potkay
Title
Owner
Phone
(240) 257-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

359 W Patrick St
Frederick, MD 21701-4871

Mailing address

7414 Starmount Way
New Market, MD 21774

Other practice location 1

357 W Patrick St
Frederick, MD 21701-4871
Phone (240) 257-6830

Other names 2

  • Western Maryland Counseling Center Inc Doing business as
  • Western Maryland Counseling Center, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Maryland Counseling2 organizations share this tax ID, including this one
Part of
Western Maryland Counseling

Other organizations with this tax ID 1

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

Locations

129 W Patrick St
Ste 1
Frederick, MD 21701
Phone (240) 257-6830

357 W Patrick St
Frederick, MD 21701
Phone (240) 257-6830

359 W Patrick St
Frederick, MD 21701
Phone (240) 257-6830

Practitioners & affiliated clinicians

Practitioners 6

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": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1356052716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 STARMOUNT WAY",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014871",
            "telephone_number": "240-257-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 W Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014871",
            "country_code": "US",
            "telephone_number": "240-257-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN MARYLAND COUNSELING CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MARYLAND COUNSELING CENTER INC",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "POTKAY",
        "authorized_official_first_name": "MENDE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-257-6830"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maryland Counseling Center Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maryland Counseling Center Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maryland Counseling Center, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.