Organization Active NPI

Klebe Counseling, LLC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1891132619
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16264 Issued in MD
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

Updated by the provider on Jun 3, 2013

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
061027500MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.