NPIMap

Organization Active NPI

Guide Program, Inc

Doing business as GUIDE Independence PRP - Prince George's

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Carrollton, MD
National Provider Identifier
1437273372
Registry record updated Aug 22, 2020
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
GUIDE PROGRAM, INC
Doing business as
GUIDE Independence PRP - Prince George's
Practice address
5508 Karen Elaine Dr
824
New Carrollton, MD 20784-4131
Phone
(301) 459-8220
Fax
(301) 577-1756
NPI assigned
Mar 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott K. Birdsong, LCSW-CNPI 1962526772
Title
Executive Director & President
Phone
(301) 549-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5508 Karen Elaine Dr
824
New Carrollton, MD 20784-4131

Mailing address

8643 Cherry LN
Laurel, MD 20707-6200
Phone (301) 549-3602

Other names 1

  • GUIDE Independence PRP - Prince George's Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guide Independence PRP - Montgomery Tay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Guide Program, Inc.

    dba GUIDE Independence PRP - Montgomery TAY

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Gaithersburg, MD
    • NPI 1255455192
    NPD tax ID

Locations

5508 Karen Elaine Dr
Ste 824
New Carrollton, MD 20784
Phone (301) 459-8220

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437273372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076200",
            "telephone_number": "301-549-3602",
            "fax_number": "301-549-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 KAREN ELAINE DR",
            "address_2": "824",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207844131",
            "telephone_number": "301-459-8220",
            "fax_number": "301-577-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRDSONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & PRESIDENT",
        "authorized_official_telephone_number": "301-549-3602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "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": "GUIDE Independence PRP - Prince George's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.