NPIMap

Organization Active NPI

Mental Health Assoc of Frederick Cty

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1821286675
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL HEALTH ASSOC OF FREDERICK CTY
Practice address
226 South Jefferson St
Frederick, MD 21701
Phone
(301) 663-6135
Fax
(301) 663-5738
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Mrs. Shannon Aleshire
Title
Ceo
Phone
(301) 663-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MD Primary

Addresses

Primary practice location

226 South Jefferson St
Frederick, MD 21701

Mailing address

226 South Jefferson St
Frederick, MD 21701
Phone (301) 663-6135

Other identifiers 1

IdentifierTypeStateIssuer
819101800MedicaidMD

Other names 1

  • Mental Health Association of Frederick County, Counseling Servic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000549 MD Part B Supplier - Clinic/Group Practice 8022051432 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Frederick, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Assoc of Frederick Cty6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1821286675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SOUTH JEFFERSON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-663-6135",
            "fax_number": "301-663-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SOUTH JEFFERSON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-663-6135",
            "fax_number": "301-663-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOC OF FREDERICK CTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "ALESHIRE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-663-0011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819101800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Association of Frederick County, Counseling Servic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 25, 2016; 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.