Trinity Foss
Individual provider Active NPI Professional Counselor · Taneytown, MD
NPI 1487225942 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1487225942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LG11646 (MD)
- Practice address
- 3622 Fringer Rd
Taneytown, MD 21787-1526 - Phone
- (301) 471-6685
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240628002301 | MD | Practitioner - Mental Health Counselor | 9335683556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG11646 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Professional | Current |
Accepting new patients |
Locations
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
260 Gateway Dr
Ste 1112C
Bel Air, MD 21014
260 Gateway Dr
Ste 19C
Bel Air, MD 21014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC14964 | MD | |
| Professional Counselor | 101YP2500X | LG11646 | MD | Yes |
Addresses
Primary practice location
3622 Fringer Rd
Taneytown, MD 21787-1526
Mailing address
3622 Fringer Rd
Taneytown, MD 21787-1526
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- John V Galinaitis
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All providers in Taneytown, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.