Maryland Virtual Counseling LLC,

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MARYLAND VIRTUAL COUNSELING LLC,

Doing business as

Maryland Virtual Counseling

Practice address

4 Kuethe Rd
Glen Burnie, MD 21060-7322

Phone

(443) 203-8098

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allison Pastine, LPCPCNPI 1023550746

Title

Owner

Phone

(443) 250-6653

Specialties & licenses 2

Addresses

Other names 1

• Maryland Virtual Counseling Doing business as

Locations

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.

• Allison Tate Pastine, LCPC

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1023550746
  NPD (past) Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1528629540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 THOMAS WAY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462832",
            "telephone_number": "443-250-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KUETHE RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607322",
            "telephone_number": "443-203-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Thomas Way",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462832",
            "country_code": "US",
            "telephone_number": "443-250-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND VIRTUAL COUNSELING LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "PASTINE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-250-6653",
        "authorized_official_credential": "LPCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Virtual Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Maryland Urology Surgicenters, LLC
• Sarah Masek, NP-C
• Nziavake Masimasi, M.D.
• Cynthia Mason, LCPC
• Marylyn Mason, RN
• Justin Martin Massey, PSY.D.

• Adult Mental Health Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.