Organization Active NPI

Ae Counseling and Healing Services, LLC

  • Mental Health Counselor
  • Bel Air, MD
National Provider Identifier
1497212468
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AE COUNSELING AND HEALING SERVICES, LLC
Practice address
139 N Main St Ste 301
Bel Air, MD 21014-8808
Phone
(410) 846-4005
NPI assigned
Feb 26, 2019
Last updated
Feb 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Mrs. Christina Marie Decostanzo-Allen, LCPC
Title
Program Director
Phone
(443) 900-7118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

139 N Main St Ste 301
Bel Air, MD 21014-8808

Mailing address

139 N Main St Ste 301
Bel Air, MD 21014-8808
Phone (443) 900-7118

Other practice location 1

260 Gateway Dr Ste 11-12B
Bel Air, MD 21014-4268
Phone (410) 846-4005

National Provider Directory

National Provider Directory

Locations

260 Gateway Dr
Ste 1112B
Bel Air, MD 21014
Phone (410) 846-4005

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": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1497212468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148808",
            "telephone_number": "443-900-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148808",
            "telephone_number": "410-846-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Gateway Dr Ste 11-12B",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144268",
            "country_code": "US",
            "telephone_number": "410-846-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AE COUNSELING AND HEALING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "DECOSTANZO-ALLEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-900-7118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.