Psychotherapy & Counseling Service

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11610 Issued in MD

Legal business name

PSYCHOTHERAPY & COUNSELING SERVICE

Practice address

10632 Little Patuxent Pkwy
Suite 245
Columbia, MD 21044-3273

Phone

(410) 312-7250

Fax

(410) 312-7298

NPI assigned

Sep 4, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Pastor, LCSW-C

Title

Owner

Phone

(410) 312-7250

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1831470863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 MIRRORLIGHT PL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453214",
            "telephone_number": "410-419-1708",
            "fax_number": "410-312-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 245",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "410-312-7250",
            "fax_number": "410-312-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-04",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-312-7250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "528219",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "585S",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE",
            "identifier": "2113960",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "819906526",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "C9HJ",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "X8120001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jhleah Kijhay Pryor
• Stephen Michael Przybylski, LCPC
• Todd Michael Psenicska, LMSW
• Lauren Psoras, CRNP
• Psychogeriatric Services LLC
• Joaquin A Puente, CNIM
• Deborea Pugh, LCPC
• Deanna Puglisi
• Mary Joanna Puglisi, LCPC
• Pulmonary Disease and Critical Care Associates, P.a. (Center for Sleep Disorders/Behavioral Sleep Medicine)

• 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 Sep 14, 2011; 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.