NPIMap

Organization Active NPI

Carroll Counseling Center, LLC

  • Cognitive & Behavioral Psychologist
  • Eldersburg, MD
National Provider Identifier
1710999784
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
CARROLL COUNSELING CENTER, LLC
Practice address
1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464
Phone
(410) 549-5181
Fax
(410) 549-5182
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Elisabeth Pesce
Title
Secretary
Phone
(904) 605-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464

Mailing address

1380 Progress Way
Suite 101
Eldersburg, MD 21784-6464
Phone (410) 549-5181

National Provider Directory

National Provider Directory

Locations

650 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 315-9350

Practitioners & affiliated clinicians

Practitioners 4

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1710999784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 101",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-549-5181",
            "fax_number": "410-549-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 101",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-549-5181",
            "fax_number": "410-549-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.