NPIMap

Organization Active NPI

Stride Forward Counseling LLC

  • Adult Mental Health Clinic/Center
  • Catonsville, MD
National Provider Identifier
1881209815
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
STRIDE FORWARD COUNSELING LLC
Doing business as
Stride Forward Counseling LLC
Practice address
9 Newburg Ave Ste 102
Catonsville, MD 21228-5157
Phone
(916) 572-1225
NPI assigned
Sep 15, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Mrs. Rachel Nicole Collins, LC10692NPI 1851876148
Title
Clinical Therapist
Phone
(443) 851-8214

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

9 Newburg Ave Ste 102
Catonsville, MD 21228-5157

Mailing address

3506 Lower Mill CT
Ellicotty City, MD 21043-4140
Phone (443) 851-8214

Other practice location 1

3506 Lower Mill Ct
Ellicott City, MD 21043-4140
Phone (443) 851-8214

Other names 1

  • Stride Forward Counseling LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230712000111 MD Part B Supplier - Clinic/Group Practice 9537528328 Receives reassigned benefits from 3 practitioners
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory

Locations

9 Newburg Ave
Ste 101
Catonsville, MD 21228
Phone (215) 253-9365

9 Newburg Ave
Ste 102
Catonsville, MD 21228
Phone (443) 318-6703

Practitioners & affiliated clinicians

Practitioners 7

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": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1881209815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 LOWER MILL CT",
            "city": "ELLICOTTY CITY",
            "state": "MD",
            "postal_code": "210434140",
            "telephone_number": "443-851-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NEWBURG AVE STE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285157",
            "telephone_number": "916-572-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3506 Lower Mill Ct",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210434140",
            "country_code": "US",
            "telephone_number": "443-851-8214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRIDE FORWARD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "443-851-8214",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LC10692"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stride Forward Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stride Forward Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.