NPIMap

Organization Active NPI

Talbot County Health Department Addictions Program

  • Addiction (Substance Use Disorder) Counselor
  • Easton, MD
National Provider Identifier
1952442238
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
903058 Issued in MD
Legal business name
TALBOT COUNTY HEALTH DEPARTMENT ADDICTIONS PROGRAM
Practice address
301 Bay Street
Suite 307
Easton, MD 21601-2796
Phone
(410) 819-5900
Fax
(410) 819-0591
NPI assigned
Feb 9, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TALBOT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mark A. Carpenter, PSY.D.NPI 1043474059
Title
Program Director
Phone
(410) 819-5900

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
Addiction (Substance Use Disorder) Counselor 101YA0400X 903406 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X 903058 MD Primary

Addresses

Primary practice location

301 Bay Street
Suite 307
Easton, MD 21601-2796

Mailing address

301 Bay Street
Suite 307
Easton, MD 21601-2796
Phone (410) 819-5900

Other identifiers 6

IdentifierTypeStateIssuer
655252801OtherUTUNITED HEALTH CARE
VA10OtherKYCARE FIRST BLUE CROSS BLUE SHIELD
655252801MedicaidMD
655252801OtherMAPRIORITY PARTNERS
106469OtherVAAMERIGROUP
655252801OtherAZMARYLAND PHYSICIANS CARE

National Provider Directory

National Provider Directory
Tax ID family
Talbot Cty HLTH Dept11 organizations share this tax ID, including this one
Part of
Talbot Cty HLTH Dept

Other organizations with this tax ID 10

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

Locations

301 Bay St
Ste 307
Easton, MD 21601
Phone (410) 819-5918

Practitioners & affiliated clinicians

Practitioners 9

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1952442238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BAY STREET",
            "address_2": "SUITE 307",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012796",
            "telephone_number": "410-819-5900",
            "fax_number": "410-819-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BAY STREET",
            "address_2": "SUITE 307",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012796",
            "telephone_number": "410-819-5900",
            "fax_number": "410-819-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT COUNTY HEALTH DEPARTMENT ADDICTIONS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALBOT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-819-5900",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "903406",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "903058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "655252801",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLUE SHIELD",
            "identifier": "VA10",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655252801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "655252801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "106469",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIANS CARE",
            "identifier": "655252801",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.