Custer Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CUSTER THERAPY LLC

Practice address

7439 Springfield Ave
Sykesville, MD 21784-7500

Phone

(304) 276-2811

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By 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

Kristen Custer, LCPCNPI 1134606213

Title

Owner

Phone

(304) 276-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Kristen Custer

  • Mental Health Counselor
  • Sykesville, MD
  • NPI 1134606213
  NPD Authorized official

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1417703471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 SPRINGFIELD AVE",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847500",
            "telephone_number": "304-276-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 SPRINGFIELD AVE",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847500",
            "telephone_number": "304-276-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-276-2811",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134606213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peri Cohen Boersema, LCSW
• Amy M Cohen, LCPC
• Comptroller of Maryland Central Payroll Bureau (Springfield Hospital Center)
• Copper Ridge, Inc.
• Sara Cuomo, LGPC
• Kristen Custer
• Erica Davis, PHARMD
• Heidi Defendorf, LCSW-C
• Michael Kent Delano, MD
• Amy Irene Desantis, DPT

• Mental Health Counselor in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.