Active NPI
Klebe Counseling, LLC
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1891132619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16264
- Legal business name
- KLEBE COUNSELING, LLC
- Practice address
- 10340 Swift Stream PL
Apt 401
Columbia, MD 21044-4667 - Phone
- (443) 761-5801
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Earl Klebe, LCSW-C
- Title
- Owner
- Phone
- (443) 878-3154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16264 | MD | Primary |
Addresses
Primary practice location
10340 Swift Stream PL
Apt 401
Columbia, MD 21044-4667
Mailing address
10632 Little Patuxent Pkwy
Suite 405a
Columbia, MD 21044-3273
Phone (443) 878-3154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061027500 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
10632 Little Patuxent Pkwy
Ste 405A
Columbia, MD 21044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1891132619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10632 LITTLE PATUXENT PKWY",
"address_2": "SUITE 405A",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443273",
"telephone_number": "443-878-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10340 SWIFT STREAM PL",
"address_2": "APT 401",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444667",
"telephone_number": "443-761-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEBE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "KLEBE",
"authorized_official_first_name": "EARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-878-3154",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061027500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.