Christian Counseling Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRISTIAN COUNSELING GROUP LLC

Practice address

9650 Santiago Rd.
Suite 102
Columbia, MD 21045-3958

Phone

(410) 995-5587

Fax

(410) 992-1779

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Candace Smith-Tucker

Title

Manager

Phone

(240) 353-4078

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

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

• Howard Hines, PHD

  • Psychologist
  • Columbia, MD
  • NPI 1801906854
  Medicare reassignment Care Compare group NPD
• Andrea S Morris, PHD

  • Professional Counselor
  • Columbia, MD
  • NPI 1134236672
  Medicare reassignment Care Compare group NPD
• Janice W. Sams, LC SWC

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1225147440
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1730898065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD. SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "410-995-5587",
            "fax_number": "410-992-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD.",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "410-995-5587",
            "fax_number": "410-992-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "SMITH-TUCKER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-353-4078"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena Choubey, M.D.
• Mohammed Irfan Chouhan
• Imtiaz H Chowdhry, M.D.
• Imran H Chowdhury, MD
• Christ Centered Counseling
• Jocelyn Christian
• Maggie A Christian
• Payal Mecwan Christian, CRNP
• Valerie Denise Christian
• Cynthia Christiani, RN

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.