Organization Active NPI

Oic Counseling Services, Inc.

  • Point of Service
  • Bel Air, MD
National Provider Identifier
1942577622
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
OIC COUNSELING SERVICES, INC.
Practice address
336 South Main Street
Suite 1-C
Bel Air, MD 21014
Phone
(410) 836-0820
Fax
(443) 403-0734
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Erric Hetzer, LCSW-CNPI 1326138157
Title
Owner/Therapist
Phone
(410) 836-0820

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

336 South Main Street
Suite 1-C
Bel Air, MD 21014

Mailing address

336 South Main Street
Suite 1-C
Bel Air, MD 21014
Phone (410) 836-0820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000136 MD Part B Supplier - Clinic/Group Practice 3375718950 Receives reassigned benefits from 12 practitioners
Practice locations: Bel Air, MD; Edgewood, MD

National Provider Directory

National Provider Directory
Tax ID family
Oic Counseling Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1833 Pulaski Hwy
Ste A
Edgewood, MD 21040
Phone (410) 363-3713

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1942577622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SOUTH MAIN STREET",
            "address_2": "SUITE 1-C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-836-0820",
            "fax_number": "443-403-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SOUTH MAIN STREET",
            "address_2": "SUITE 1-C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-836-0820",
            "fax_number": "443-403-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIC COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "HETZER",
        "authorized_official_first_name": "ERRIC",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "410-836-0820",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.