NPIMap

Organization Active NPI

M&M Behavioral Health Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Glen Burnie, MD
National Provider Identifier
1508217449
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
906103 Issued in MD
Legal business name
M&M BEHAVIORAL HEALTH SOLUTIONS
Practice address
1406 Crain Highway South S.,
Ste 102, 104, 106
Glen Burnie, MD 21061-2106
Phone
(443) 685-5945
Fax
(410) 766-0240
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Ann McCoy, LCPC
Title
Clinical Director
Phone
(410) 766-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 906103 MD Primary

Addresses

Primary practice location

1406 Crain Highway South S.,
Ste 102, 104, 106
Glen Burnie, MD 21061-2106

Mailing address

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

Other practice location 1

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

Other identifiers 1

IdentifierTypeStateIssuer
455107900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160727000859 MD Part B Supplier - Clinic/Group Practice 1355634437 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Burnie, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MM Behavioral HLTH Sol4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1508217449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HIGHWAY SOUTH S.,",
            "address_2": "STE 102, 104, 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612106",
            "telephone_number": "443-685-5945",
            "fax_number": "410-766-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Crain Hwy S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614086",
            "country_code": "US",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M&M BEHAVIORAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-766-6624",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "906103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455107900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.