NPIMap

Organization Active NPI

Ross Counseling LLC

  • Mental Health Counselor
  • Middle River, MD
National Provider Identifier
1679185607
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROSS COUNSELING LLC
Practice address
1120 Middle River Rd
Middle River, MD 21220-2408
Phone
(443) 868-7762
Fax
(443) 868-7643
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Kizzy Dianna Pittrell, LCPCNPI 1528347366
Title
Ceo
Phone
(443) 868-7762

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1120 Middle River Rd
Middle River, MD 21220-2408

Mailing address

1120 Middle River Rd
Middle River, MD 21220-2408
Phone (443) 868-7762

Other identifiers 2

IdentifierTypeStateIssuer
589561800MedicaidMD
101YM0800XMedicaidMD

Other names 1

  • Ross Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1120 Middle River Rd
Middle River, MD 21220
Phone (443) 317-3285

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1679185607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MIDDLE RIVER RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202408",
            "telephone_number": "443-868-7762",
            "fax_number": "443-868-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MIDDLE RIVER RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202408",
            "telephone_number": "443-868-7762",
            "fax_number": "443-868-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "PITTRELL",
        "authorized_official_first_name": "KIZZY",
        "authorized_official_middle_name": "DIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-868-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ross Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.