Organization Active NPI

Mercy Cares Counseling Services, LLC

  • Professional Counselor
  • Crofton, MD
National Provider Identifier
1437784147
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MERCY CARES COUNSELING SERVICES, LLC
Practice address
2138 Priest Bridge CT
Crofton, MD 21114-2462
Phone
(410) 212-3197
Fax
(410) 741-3563
NPI assigned
Mar 3, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Lisa Wolff, LCPCNPI 1114412061
Title
Owner
Phone
(410) 212-3197

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

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604002890 MD Part B Supplier - Clinic/Group Practice 1052853132 Receives reassigned benefits from 1 practitioner
Practice locations: Crofton, MD

National Provider Directory

National Provider Directory

Locations

2138 Priest Bridge Ct
Crofton, MD 21114
Phone (410) 212-3197

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

2138 Priest Bridge CT
Crofton, MD 21114-2462

Mailing address

510 Dogwood Dr
Glen Burnie, MD 21061-3804
Phone (410) 212-3197

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2020.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1437784147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DOGWOOD DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613804",
            "telephone_number": "410-212-3197",
            "fax_number": "410-741-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 PRIEST BRIDGE CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142462",
            "telephone_number": "410-212-3197",
            "fax_number": "410-741-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-212-3197",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.