NPIMap

Organization Active NPI

Safe Harbor Christian Counseling of Southern Maryland, LLC

  • Professional Counselor
  • Clinton, MD
National Provider Identifier
1467663179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1984 Issued in MD
Legal business name
SAFE HARBOR CHRISTIAN COUNSELING OF SOUTHERN MARYLAND, LLC
Practice address
3102 Floral Park Rd
Clinton, MD 20735-9665
Phone
(301) 292-2778
Fax
(301) 292-0275
NPI assigned
May 24, 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
Mrs. Christine Elizabeth Buckingham, MA, LCPCNPI 1598778474
Title
Executive Director
Phone
(301) 292-2778

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1984 MD Primary

Addresses

Primary practice location

3102 Floral Park Rd
Clinton, MD 20735-9665

Mailing address

3102 Floral Park Rd
Clinton, MD 20735-9665
Phone (301) 292-2778

National Provider Directory

National Provider Directory

Locations

3102 Floral Park Rd
Clinton, MD 20735
Phone (301) 292-2778

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467663179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665",
            "telephone_number": "301-292-2778",
            "fax_number": "301-292-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665",
            "telephone_number": "301-292-2778",
            "fax_number": "301-292-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING OF SOUTHERN MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-292-2778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, 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.