Upcounty Pastoral Counseling Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

UPCOUNTY PASTORAL COUNSELING SERVICES, LLC

Practice address

915 Russell Ave Ste B
Gaithersburg, MD 20879-6200

Phone

(240) 401-8686

Fax

(888) 977-1530

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Catherine Eaton, LCPC

Title

Owner/Lead Clinician

Phone

(240) 401-8686

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1841835824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RUSSELL AVE UNIT 402",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772965",
            "telephone_number": "240-401-8686",
            "fax_number": "888-977-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RUSSELL AVE STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796200",
            "telephone_number": "240-401-8686",
            "fax_number": "888-977-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13421 Clopper Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742119",
            "country_code": "US",
            "telephone_number": "240-401-8686",
            "fax_number": "888-977-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPCOUNTY PASTORAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/LEAD CLINICIAN",
        "authorized_official_telephone_number": "240-401-8686",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.