Kingston C. Holcomb, Certified Counseling Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

06263 Issued in MD

Legal business name

KINGSTON C. HOLCOMB, CERTIFIED COUNSELING ASSOCIATES, INC.

Practice address

5310 Old Court Rd
Randallstown, MD 21133-5243

Phone

(410) 521-4798

Fax

(410) 521-4745

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Kingston Holcomb, MSW,LCSW-CNPI 1306998208

Title

Director / Founder

Phone

(410) 521-4798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Kingston Charles Holcomb, MSW LCSWC

  • Clinical Social Worker
  • Randallstown, MD
  • NPI 1306998208
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1669847281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "address_2": "SUITE 308",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-521-4798",
            "fax_number": "410-521-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-521-4798",
            "fax_number": "410-521-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON C. HOLCOMB, CERTIFIED COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "KINGSTON",
        "authorized_official_title_or_position": "DIRECTOR / FOUNDER",
        "authorized_official_telephone_number": "410-521-4798",
        "authorized_official_credential": "MSW,LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "06263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi N Kiguru, COTA
• King Samuel Health Inc
• Karen M King, RN
• Lindsay Nichole King
• Terris King Andre King
• Rachel Kirkpatrick, PA-C
• Ibiyinka Morayo Kolawole
• Temiloluwa Kolawole, LCSW-C
• Thomas J Krisanda, MD
• Ella I Krupitskaya, CRNP

• Community/Behavioral Health Agency in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.