Organization Active NPI

Ardeo Counseling, LLC

  • Mental Health Counselor
  • Havre de Grace, MD
National Provider Identifier
1386237667
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARDEO COUNSELING, LLC
Practice address
225 Saint John St
Havre de Grace, MD 21078-2905
Phone
(443) 502-0385
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Ms. Katlyn Workman, LCPCNPI 1770985731
Title
Owner
Phone
(443) 502-0385

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

225 Saint John St
Havre de Grace, MD 21078-2905

Mailing address

709 S Washington St
Havre de Grace, MD 21078-3525
Phone (443) 502-0385

National Provider Directory

National Provider Directory

Locations

225 Saint John St
Hvre de Grace, MD 21078
Phone (410) 939-4488

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1386237667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S WASHINGTON ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783525",
            "telephone_number": "443-502-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SAINT JOHN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782905",
            "telephone_number": "443-502-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEO COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-502-0385",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.