NPIMap

Organization Active NPI

Greater Baltimore Counseling Center, LLC

  • Clinical Psychologist
  • Glen Burnie, MD
National Provider Identifier
1376616938
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3790 Issued in MD
Legal business name
GREATER BALTIMORE COUNSELING CENTER, LLC
Practice address
30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557
Phone
(410) 760-9079
Fax
(410) 760-1121
NPI assigned
Nov 15, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Laura Steensen, PSY.D.NPI 1972699866
Title
Partner
Phone
(410) 760-9079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Professional Counselor 101YP2500X LC1668 MD
Clinical Psychologist 103TC0700X 3790 MD Primary
Clinical Social Worker 1041C0700X 8711 MD

Addresses

Primary practice location

30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557

Mailing address

30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557
Phone (410) 760-9079

Other practice location 1

1850 York Rd Ste K
Timonium, MD 21093-5122
Phone (410) 760-9079

Other practice location 2

1363 Becknel Ave
Odenton, MD 21113-1501
Phone (410) 760-9079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040520000206 MD Part B Supplier - Clinic/Group Practice 4587655410 Receives reassigned benefits from 14 practitioners
Practice locations: Annapolis, MD; Glen Burnie, MD; Odenton, MD; Timonium, MD
O20210525000019 DC Part B Supplier - Clinic/Group Practice 4587655410 Receives reassigned benefits from 6 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 111

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.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1376616938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREENWAY ST NW STE 5",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613557",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREENWAY ST NW STE 5",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613557",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 York Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210935122",
            "country_code": "US",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1363 Becknel Ave",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131501",
            "country_code": "US",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER BALTIMORE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "STEENSEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-760-9079",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1668",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3790",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "8711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.