NPIMap

Organization Active NPI

Caruth Staffing Agency P.C.

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1861116758
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARUTH STAFFING AGENCY P.C.
Practice address
2114 Garden Grove LN
Bowie, MD 20721-1883
Phone
(240) 245-0039
Fax
(301) 542-0125
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Monique Junette Caruth, PT, DPTNPI 1679700785
Title
Owner/Ceo
Phone
(240) 245-0039

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2114 Garden Grove LN
Bowie, MD 20721-1883

Mailing address

2114 Garden Grove LN
Bowie, MD 20721-1883
Phone (240) 245-0039

Other identifiers 1

IdentifierTypeStateIssuer
241685MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@caruthstaffing.org Direct

National Provider Directory

National Provider Directory

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1861116758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 GARDEN GROVE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211883",
            "telephone_number": "240-245-0039",
            "fax_number": "301-542-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 GARDEN GROVE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211883",
            "telephone_number": "240-245-0039",
            "fax_number": "301-542-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUTH STAFFING AGENCY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "CARUTH",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "JUNETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "240-245-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241685",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@caruthstaffing.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2114 Garden Grove Ln",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207211883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.