NPIMap

Organization Active NPI

Frederick Behavioral Health Services, LLC

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1780363390
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FREDERICK BEHAVIORAL HEALTH SERVICES, LLC
Practice address
241 E 4TH St Ste 100
Frederick, MD 21701-3601
Phone
(301) 321-8245
Fax
(301) 238-7915
NPI assigned
Jul 12, 2023
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Thomas William Colligan, LCSW-CNPI 1316276900
Title
Principal Owner
Phone
(301) 321-8245

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

241 E 4TH St Ste 100
Frederick, MD 21701-3601

Mailing address

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (301) 321-8245

Other practice location 1

10212 Governor Lane Blvd Unit 1006
Williamsport, MD 21795-4088
Phone (301) 321-8245

Other practice location 2

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone (301) 321-8245

Other practice location 3

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (301) 321-8245

Other practice location 4

1451 Rockville Pike Ste 250
Rockville, MD 20852-1486
Phone (301) 321-8245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321000900 MD Part B Supplier - Clinic/Group Practice 1456873249 Receives reassigned benefits from 9 practitioners
Practice locations: Columbia, MD; Frederick, MD

National Provider Directory

National Provider Directory
Tax ID family
Frederick Behavioral Health Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

241 E 4th St
Fl 1
Frederick, MD 21701
Phone (301) 321-8245

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1780363390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E 4TH ST STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013601",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10212 Governor Lane Blvd Unit 1006",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "MD",
            "postal_code": "217954088",
            "country_code": "US",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9861 Broken Land Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210463031",
            "country_code": "US",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Buckeystown Pike Ste 250",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048344",
            "country_code": "US",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 Rockville Pike Ste 250",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521486",
            "country_code": "US",
            "telephone_number": "301-321-8245",
            "fax_number": "301-238-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "COLLIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "301-321-8245",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.