Organization Active NPI

Progressive Counseling Services, LLC

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1861053787
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROGRESSIVE COUNSELING SERVICES, LLC
Practice address
3525H Ellicott Mills Dr Ste 108
Ellicott City, MD 21043-4544
Phone
(410) 212-0111
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Mrs. Lesly Threadgill Ogungbemi, LCSW-CNPI 1467783811
Title
Therapist/Owner
Phone
(410) 212-0111

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3525H Ellicott Mills Dr Ste 108
Ellicott City, MD 21043-4544

Mailing address

3525H Ellicott Mills Dr Ste 108
Ellicott City, MD 21043-4544
Phone (410) 212-0111

National Provider Directory

National Provider Directory

Locations

3525H Ellicott Mills Dr
Ste 108
Ellicott City, MD 21043
Phone (410) 212-0111

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": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1861053787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525H ELLICOTT MILLS DR STE 108",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434544",
            "telephone_number": "410-212-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525H ELLICOTT MILLS DR STE 108",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434544",
            "telephone_number": "410-212-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "OGUNGBEMI",
        "authorized_official_first_name": "LESLY",
        "authorized_official_middle_name": "THREADGILL",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "410-212-0111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.