Organization Active NPI

First Choice Behavioral Health Services, LLC

Doing business as First Choice Counseling Center

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1720642861
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FIRST CHOICE BEHAVIORAL HEALTH SERVICES, LLC
Doing business as
First Choice Counseling Center
Practice address
600 Reisterstown Rd Ste 402
Pikesville, MD 21208-5107
Phone
(410) 929-4793
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Nadia SurinNPI 1225364037
Title
Managing Owner
Phone
(410) 929-4793

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

600 Reisterstown Rd Ste 402
Pikesville, MD 21208-5107

Mailing address

17 Warren Rd Ste 1a
Pikesville, MD 21208-5001
Phone (410) 929-4793

Other identifiers 1

IdentifierTypeStateIssuer
479305600MedicaidMD

Other names 1

  • First Choice Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Choice Behavioral Health Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

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": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1720642861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 1A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085001",
            "telephone_number": "410-929-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD STE 402",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085107",
            "telephone_number": "410-929-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "SURIN",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "410-929-4793"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479305600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.