NPIMap

Organization Active NPI

United Counseling and Support Services

  • Community/Behavioral Health Agency
  • Uppr Marlboro, MD
National Provider Identifier
1629568621
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNITED COUNSELING AND SUPPORT SERVICES
Practice address
9701 Apollo Dr Ste 100&330
Uppr Marlboro, MD 20774-4783
Phone
(240) 388-1763
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Authorized official

Name
Christine Dominique Watkins
Title
Founder
Phone
(240) 388-1763

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9701 Apollo Dr Ste 100&330
Uppr Marlboro, MD 20774-4783

Mailing address

9701 Apollo Dr Ste 100
Uppr Marlboro, MD 20774-4785
Phone (240) 388-1763

Other identifiers 1

IdentifierTypeStateIssuer
910745MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
United Counseling and Support Services LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1629568621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPR MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "240-388-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100&330",
            "city": "UPPR MARLBORO",
            "state": "MD",
            "postal_code": "207744783",
            "telephone_number": "240-388-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "240-388-1763"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910745",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uppr Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.