NPIMap

Organization Active NPI

Covenant Counseling Ministries Inc

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cumberland, MD
National Provider Identifier
1629177290
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R067998 Issued in MD
Legal business name
COVENANT COUNSELING MINISTRIES INC
Practice address
907 Seton Dr
Cumberland, MD 21502-1817
Phone
(301) 777-0633
Fax
(240) 362-7110
NPI assigned
Sep 21, 2006
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Sherrell Faith Campbell, MS, CRNP, PMH-FNPI 1457548323
Title
Director
Phone
(301) 777-0633

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2243 MD
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R063139 MD
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R067998 MD Primary
Community/Behavioral Health Agency 251S00000X R067998 MD

Addresses

Primary practice location

907 Seton Dr
Cumberland, MD 21502-1817

Mailing address

907 Seton Dr
Cumberland, MD 21502-1817
Phone (301) 777-0633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100306000070 MD Part B Supplier - Clinic/Group Practice 2365587995 Receives reassigned benefits from 8 practitioners
Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Locations

907 Seton Dr
Cumberland, MD 21502
Phone (301) 759-1004

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1629177290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021817",
            "telephone_number": "301-777-0633",
            "fax_number": "240-362-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021817",
            "telephone_number": "301-777-0633",
            "fax_number": "240-362-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHERRELL",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-777-0633",
        "authorized_official_credential": "MS, CRNP, PMH-F"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2243",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R063139",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R067998",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "R067998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.