NPIMap

Organization Active NPI

Caroline Counseling Center

  • Community/Behavioral Health Agency
  • Denton, MD
National Provider Identifier
1699220038
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
905944 Issued in MD
Legal business name
CAROLINE COUNSELING CENTER
Practice address
606 Sunnyside Ave
Denton, MD 21629-1341
Phone
(410) 479-1882
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINE COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Leland Spencer, M.D. MPH
Title
Health Officer
Phone
(410) 479-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 905944 MD Primary

Addresses

Primary practice location

606 Sunnyside Ave
Denton, MD 21629-1341

Mailing address

403 S 7TH St
Denton, MD 21629-1327
Phone (410) 479-1882

Other identifiers 1

IdentifierTypeStateIssuer
423224100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Regional Mid Shore MHSC7 organizations share this tax ID, including this one
Part of
Towson University

Other organizations with this tax ID 6

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

Locations

403 S 7th St
Denton, MD 21629
Phone (410) 479-8000

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1699220038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S 7TH ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291327",
            "telephone_number": "410-479-1882",
            "fax_number": "410-479-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SUNNYSIDE AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291341",
            "telephone_number": "410-479-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINE COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-479-1882",
        "authorized_official_credential": "M.D. MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423224100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

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