NPIMap

Organization Active NPI

My Covenant Place Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MD
National Provider Identifier
1740994417
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Practice address
10630 Little Patuxent Pkwy Ste 314D
Columbia, MD 21044-6216
Phone
(410) 200-9290
NPI assigned
Jan 9, 2023
Organization subpart
Yes
Parent organization
MY COVENANT PLACE BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Latisha Carter
Title
President/Ceo
Phone
(410) 200-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 314D
Columbia, MD 21044-6216

Mailing address

10630 Little Patuxent Pkwy Ste 113
Columbia, MD 21044-6225
Phone (410) 200-9290

National Provider Directory

National Provider Directory
Tax ID family
My Covenant Place Behavioral Health7 organizations share this tax ID, including this one
Part of
My Covenant Place Behavioral Health

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1740994417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 113",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446225",
            "telephone_number": "410-200-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 314D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "410-200-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COVENANT PLACE BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY COVENANT PLACE BEHAVIORAL HEALTH",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-200-9290"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.