NPIMap

Organization Active NPI

Clifden Counseling Services

  • Counselor
  • Prince Frederick, MD
National Provider Identifier
1750618005
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC1032 Issued in MD
Legal business name
CLIFDEN COUNSELING SERVICES
Practice address
144 Windcliff Rd
Prince Frederick, MD 20678-4303
Phone
(410) 535-8688
Fax
(410) 535-8688
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Richard Edward Kelly, EDDNPI 1295882801
Title
LCPC
Phone
(410) 535-8688

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LC1032 MD Primary

Addresses

Primary practice location

144 Windcliff Rd
Prince Frederick, MD 20678-4303

Mailing address

PO Box 2148
Prince Frederick, MD 20678-2148
Phone (410) 535-8688

National Provider Directory

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1750618005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2148",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206782148",
            "telephone_number": "410-535-8688",
            "fax_number": "410-535-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WINDCLIFF RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784303",
            "telephone_number": "410-535-8688",
            "fax_number": "410-535-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFDEN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "410-535-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.