Cordillera Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORDILLERA COUNSELING SERVICES LLC

Practice address

5570 Sterrett Place
Columbia, MD 21044-2649

Phone

(443) 203-9838

NPI assigned

Aug 8, 2023

Organization subpart

Yes

Parent organization

CORDILLERA COUNSELING SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Tahmineh Ann Shadkhoo, LCPCNPI 1902307051

Title

Licensed Professional Counselor

Phone

(443) 745-2363

Specialties & licenses 1

Addresses

Part of

Cordillera Counseling Services LLC

Locations

Practitioners 1

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

• Tahmineh Ann Shadkhoo, LCPC

  • Professional Counselor
  • Columbia, MD
  • NPI 1902307051
  NPD Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1700569779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 GOVERNOR CARROLL CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433456",
            "telephone_number": "443-745-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PLACE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442649",
            "telephone_number": "443-203-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDILLERA COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORDILLERA COUNSELING SERVICES LLC",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SHADKHOO",
        "authorized_official_first_name": "TAHMINEH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "443-745-2363",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susannah Lynn Coover, PT
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• Natasha Corbin
• Melanie Rose Corbliss, DDS
• Sarah Corcoran, D.C.
• Christina Louise Cordonnier
• Core Nutrition LLC
• Audra Marie Corente, M.S.
• Jennifer Corinaldi
• Rebecca Corn, PT/DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.