KTS Mental Health Group, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4469 Issued in MD

Legal business name

KTS MENTAL HEALTH GROUP, INC

Practice address

8910 Harford Rd
Parkville, MD 21234-4142

Phone

(443) 708-3887

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Christopher Mark Adams, LCPCNPI 1205197761

Title

Owner/Director

Phone

(443) 504-7427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THRIVE Group, Inc. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

KTS Mental Health Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• KTS Mental Health Group, Inc

  • Community/Behavioral Health Agency
  • Parkville, MD
  • NPI 1356834063
  NPD tax ID
• KTS Mental Health Group, Inc

  • Community/Behavioral Health Agency
  • Parkville, MD
  • NPI 1467049155
  NPD tax ID

Locations

Practitioners 5

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

• Christopher Mark Adams, LCPC

  • Professional Counselor
  • Towson, MD
  • NPI 1205197761
  Medicare reassignment NPD (past) Authorized official
• Vivian Archibong, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1235340266
  Medicare reassignment NPD
• Jeremy Thomas Selover, LGSW

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1235672106
  Medicare reassignment
• Daniel Jeffrey Barr, LMSW

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1104556810

  Multi-Specialty

  NPD
• Savannah Kristine Martinez, LCSW-C

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1184351801
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1982192977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344142",
            "telephone_number": "443-708-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344142",
            "telephone_number": "443-708-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "686 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217403770",
            "country_code": "US",
            "telephone_number": "443-708-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5B E Main St",
            "address_purpose": "LOCATION",
            "city": "Thurmont",
            "state": "MD",
            "postal_code": "217882007",
            "country_code": "US",
            "telephone_number": "443-708-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KTS MENTAL HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "443-504-7427",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747387",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ktsmentalhealth.com",
            "affiliation": "N",
            "address_1": "8910 Harford Rd",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212344142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THRIVE Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve Harry Kokorelis, DDS
• Amanda Korpon
• Anna Marie Kraus, PT, DPT
• KTS Mental Health Group, Inc
• KTS Mental Health Group, Inc
• Laurie Ann Landry, OTR/L
• Gavin Charles Lange, PHARMACY TECHNICIAN
• Peris A Lango, FNP
• Language Blooms LLC
• David E Lanier III, PHARM.D.

• Professional Counselor in Parkville, MD
• Providers in Parkville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.