NPIMap

Organization Active NPI

Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Baltimore, MD
National Provider Identifier
1457732778
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
CENTREPOINTE COUNSELING, INC.
Practice address
610 Middle River Rd
Baltimore, MD 21220-2532
Phone
(800) 491-5369
Fax
(301) 774-3678
NPI assigned
Jun 11, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matthew Raeder, LCSW
Title
Clinical Director
Phone
(800) 491-5369

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Centrepointe Counseling Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

610 Middle River Rd
Middle River, MD 21220
Phone (410) 882-1988

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP1600X Primary

Addresses

NPPES NPI Registry

Primary practice location

610 Middle River Rd
Baltimore, MD 21220-2532

Mailing address

17826 New Hampshire Ave
Ashton, MD 20861-9781
Phone (800) 491-5369

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2022.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1457732778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17826 NEW HAMPSHIRE AVE",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208619781",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MIDDLE RIVER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202532",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREPOINTE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "RAEDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "800-491-5369",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.