Organization Active NPI

Watershed Counseling Service

  • Professional Counselor
  • Prince Frederick, MD
National Provider Identifier
1861857500
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WATERSHED COUNSELING SERVICE
Practice address
246 Merrimac Court
Prince Frederick, MD 20678
Phone
(443) 486-4848
NPI assigned
Dec 23, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. Karen E Ray, LCPC
Title
Director
Phone
(443) 486-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

246 Merrimac Court
Prince Frederick, MD 20678

Mailing address

PO Box 453
246 Merrimac Court
Prince Frederick, MD 20678-0453
Phone (443) 486-4848

National Provider Directory

National Provider Directory

Locations

246 Merrimac Ct
Prince Frederick, MD 20678
Phone (443) 486-4848

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1861857500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "address_2": "246 MERRIMAC COURT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780453",
            "telephone_number": "443-486-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MERRIMAC COURT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "443-486-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-486-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.