NPIMap

Organization Active NPI

Finksburg Plaza Counseling Service, LLC

Doing business as Finksburg Counseling Service, LLC

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1497797021
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FINKSBURG PLAZA COUNSELING SERVICE, LLC
Doing business as
Finksburg Counseling Service, LLC
Practice address
1812 Baltimore Blvd
Suite C
Westminster, MD 21157-7146
Phone
(410) 751-6176
Fax
(410) 857-4176
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Mrs. Pamela Tregoe Manner, LCPCNPI 1073567228
Title
Director
Phone
(410) 751-6176

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd
Suite C
Westminster, MD 21157-7146

Mailing address

1812 Baltimore Blvd Ste a
Westminster, MD 21157-7144
Phone (410) 751-6176

Other names 1

  • Finksburg Counseling Service, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000730 MD Part B Supplier - Clinic/Group Practice 2466401534 Receives reassigned benefits from 10 practitioners
Practice locations: Westminster, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1497797021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "410-751-6176",
            "fax_number": "410-857-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-751-6176",
            "fax_number": "410-857-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINKSBURG PLAZA COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MANNER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TREGOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-751-6176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finksburg Counseling Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Finksburg Counseling Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.