PHOENIX COUNSELING & CONSULTING SEVICES, INC (NPI# 1184017345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184017345 |
| Entity Type | Organization |
| Organization Name | PHOENIX COUNSELING & CONSULTING SEVICES, INC |
| Other Organization Name | PHOENIX COUNSELING SERVICES |
| Practice Address |
10806 Reisterstown Rd Suite 1b Owings Mills MD 21117-2700 |
| Practice Telephone | 4109989132 |
| Practice Fax Number | 4109989132 |
| Mailing Telephone | 4109989132 |
| Mailing Fax Number | 4109989132 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | LISA HOFFMAN (PRESIDENT) |
| Authorized Official Telephone | 4109989132 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 511506000 | 05 |
| Other Name | Type Code |
|---|---|
| Phoenix Counseling Services | Doing Business As Name - Organization |
| Street Address |
10806 REISTERSTOWN RD SUITE 1B |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053426478 | Lisa J Hoffman | Counselor | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117 | 2006-08-19 |
| 1528410396 | Krista M Verrastro | Counselor | 10806 Reisterstown Rd, 1b, Owings Mills, MD 21117-2700 | 2016-07-05 |
| 1285019414 | Peggy Lee Kolodny | Counselor | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117-2700 | 2015-07-29 |
| 1316233943 | Carrie Leigh Durkee Immler | Acupuncturist | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117-2700 | 2011-06-22 |
| 1972893733 | Ava Barron-shasho, Lcsw-c, LLC | Social Worker | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117-2700 | 2011-04-13 |
| 1386836153 | Phoenix Counseling Services, Inc | Counselor | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117-2700 | 2007-08-15 |
| 1386767218 | Isaac Joseph Yohanas | Counselor | 10806 Reisterstown Rd, Suite 3c, Owings Mills, MD 21117-2700 | 2007-04-07 |
| 1609946433 | Phoenix Counseling & Consulting Services Inc | Clinic/Center | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871055616 | Comprehensive Integrated Allied Healthcare Services, LLC | Clinic/Center | 6 Park Center Ct, Owings Mills, MD 21117-5601 | 2019-04-01 |
| 1396213088 | Gps Clinical Solutions, LLC | Clinic/Center | 9616 Reisterstown Rd, Owings Mills, MD 21117-4139 | 2018-11-11 |
| 1568618072 | Mark W Crandall Mdpa | Clinic/Center | 11421 Reisterstown Rd, Owings Mills, MD 21117-1834 | 2008-08-15 |
| 1609946433 | Phoenix Counseling & Consulting Services Inc | Clinic/Center | 10806 Reisterstown Rd, Suite 1b, Owings Mills, MD 21117 | 2006-11-09 |
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| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on PHOENIX COUNSELING & CONSULTING SEVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.