Edwin Terrence Alspaugh, LCPC
Individual provider Active NPI Professional Counselor · Baltimore, MD
NPI 1407074826 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1407074826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC3117 (MD)
- Practice address
- 600 Wyndhurst Ave
Suite 200
Baltimore, MD 21210-2489 - Phone
- (410) 433-3113
- Fax
- (410) 433-3114
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Safe Harbor Behavioral Care LLC
Practice addresses (Care Compare)
606 Baltimore Ave
Suite 406
Baltimore, MD 21204-4073
Phone (410) 893-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120000348 | MD | Practitioner - Mental Health Counselor | 9234621004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3117 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Community Services | Current |
Accepting new patients | |
| Safe Harbor Behavioral Care, LLC | Professional | Current |
Accepting new patients |
Locations
600 Wyndhurst Ave
Ste 307C
Baltimore, MD 21210
Phone (410) 635-4673
606 Baltimore Ave
Ste 406
Baltimore, MD 21204
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3117 | MD | Yes |
Addresses
Primary practice location
600 Wyndhurst Ave
Suite 200
Baltimore, MD 21210-2489
Mailing address
4801 Keswick Rd
Baltimore, MD 21210-2324
Phone (410) 215-2981
Other providers in Baltimore, MD
- Kutaiba Taha Hamid Alshebeeb
- Mohammed Alshehri
- Tariq Alshehri
- Saad Ayed Alshihri
- Christin T Alsop
- Pamela Alston-Campbell
- Brittany Alston
- Diana Patricia Alston
- Ebony Rebecca Alston
- Joshua Alston
All providers in Baltimore, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.