NPIMap

Organization Active NPI

Clinical Counselors, PA

  • Professional Counselor
  • Owings Mills, MD
National Provider Identifier
1871009126
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2185 Issued in MD
Legal business name
CLINICAL COUNSELORS, PA
Practice address
11419 Cronridge Dr Ste 4
Owings Mills, MD 21117-6283
Phone
(410) 960-3954
Fax
(410) 581-3504
NPI assigned
Dec 22, 2017
Last updated
Dec 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Mona Rubenfeld, M.A., LCPCNPI 1104849934
Title
Licensed Professional Counselor
Phone
(410) 960-3954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2185 MD Primary

Addresses

Primary practice location

11419 Cronridge Dr Ste 4
Owings Mills, MD 21117-6283

Mailing address

11419 Cronridge Dr Ste 4
Owings Mills, MD 21117-6283
Phone (410) 960-3954

National Provider Directory

National Provider Directory

Locations

11419 Cronridge Dr
Ste 4
Owings Mills, MD 21117
Phone (410) 960-3954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1871009126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 4",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "410-960-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 4",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "410-960-3954",
            "fax_number": "410-581-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL COUNSELORS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "RUBENFELD",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "410-960-3954",
        "authorized_official_credential": "M.A., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.