Holistic Psychohealth Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOLISTIC PSYCHOHEALTH SERVICES LLC

Practice address

632 Frederick Rd # 200
Catonsville, MD 21228-4696

Phone

(443) 892-0553

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Germaine Ajavon, LCPCNPI 1619323573

Title

Owner

Phone

(410) 736-8010

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Gigi Ajavon Doing business as
• HPS Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Germaine Ajavon, LCPC

  • Mental Health Counselor
  • Catonsville, MD
  • NPI 1619323573

  Professional

  Medicare reassignment Care Compare group NPD Authorized official
• Eliane Sandrine Tueche Fankam

  • Psychiatric/Mental Health Nurse Practitioner
  • Burtonsville, MD
  • NPI 1629618624
  Medicare reassignment Care Compare group NPD
• Lateria Shaniece Floyd, SOCIAL WORKER

  • Social Worker
  • Baltimore, MD
  • NPI 1760148738
  Medicare reassignment Care Compare group NPD
• Mysia Jackson, LCPC

  • Mental Health Counselor
  • Catonsville, MD
  • NPI 1588224174
  Medicare reassignment Care Compare group NPD
• Giovanna Ama Baisie-Arthur, M.S, NCC, LCPC

  • Mental Health Counselor
  • Catonsville, MD
  • NPI 1366019192

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1659900488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 FREDERICK RD # 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284696",
            "telephone_number": "443-892-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 FREDERICK RD # 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284696",
            "telephone_number": "443-892-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11299 Owings Mills Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211172903",
            "country_code": "US",
            "telephone_number": "443-892-0553",
            "fax_number": "443-498-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Gwynns Mill Ct Ste D",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173527",
            "country_code": "US",
            "telephone_number": "443-892-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 W Nursery Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Linthicum Heights",
            "state": "MD",
            "postal_code": "210901205",
            "country_code": "US",
            "telephone_number": "443-422-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9930 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211331804",
            "country_code": "US",
            "telephone_number": "410-390-2833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Caton Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212294210",
            "country_code": "US",
            "telephone_number": "410-878-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC PSYCHOHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "AJAVON",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-736-8010",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223048800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "601522332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "FF08-0000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gigi Ajavon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HPS Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HPS Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hiroshi Nakazawa, M.D., P.a.
• Lauren M Hixon, MSCCCSLP
• Hlaing Hlaing
• Hayden Lee Hoffler, DPM
• Brittany Hogan
• Emily Lynn Holloway, CRNP
• Lauren Sue Holtzman, P.T.
• Erina D. Hoos, LIC. AC.
• Hope Psych Services LLC
• Hopeful Origins, LLC

• Professional Counselor in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.