SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1396118907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396118907 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
5125 E Joppa Rd Perry Hall MD 21128-9317 |
| Mailing Address |
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | ERIK SUNDQUIST (NATIONAL DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PTAN | 345110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899892 | Safe Harbor Christian Counseling | Psychologist | 4425 Forbes Blvd, Suite J, Lanham, MD 20706-4338 | 2016-09-13 |
| 1174071617 | Safe Harbor Christian Counseling | Psychologist | 658 Lucabaugh Mill Rd, Westminster, MD 21157-3814 | 2016-09-13 |
| 1922551217 | Safe Harbor Christian Counseling | Psychologist | 8921 Warfield Rd, Gaithersburg, MD 20882-4430 | 2016-08-03 |
| 1497208797 | Safe Harbor Christian Counseling | Psychologist | 12805 Georgia Ave, Silver Spring, MD 20906-3716 | 2016-08-03 |
| 1417400714 | Safe Harbor Christian Counseling | Psychologist | 1134 Long Corner Rd, Mount Airy, MD 21771-3827 | 2016-08-03 |
| 1558814855 | Safe Harbor Christian Counseling | Psychologist | 8234 Woodsboro Pike, Walkersville, MD 21793-7707 | 2016-08-03 |
| 1558735902 | Safe Harbor Christian Counseling | Psychologist | 1 Kettering Dr, Upper Marlboro, MD 20774-1514 | 2015-11-23 |
| 1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
| 1568835072 | Safe Harbor Christian Counseling | Psychologist | 11150 Berry Rd, Waldorf, MD 20603-3990 | 2015-11-05 |
| 1912370420 | Safe Harbor Christian Counseling | Psychologist | 1641 Old Westminster Rd, Westminster, MD 21157-6718 | 2015-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Safe Harbor Christian Counseling LLC | 260 Gateway Dr, Bel Air, Maryland 21014 |
| New York State Corporations | SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC | 57 Stevenson Road, Fairfield, Ct 06825 |
| Street Address |
5125 E JOPPA RD |
| City | PERRY HALL |
| State | MD |
| Zip Code | 21128-9317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083950232 | Donna Keaveney | Social Worker | 5125 E Joppa Rd, Perry Hall, MD 21128-9317 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955011 | E-psychiatriq LLC | Nurse Practitioner | 5004 Honeygo Center Drive, Suite 102 #197, Perry Hall, MD 21128 | 2020-02-28 |
| 1043705502 | C and C Loving Heart Health Care Agency | Nursing Care | 5122 Crest Haven Way, Perry Hall, MD 21128 | 2018-06-27 |
| 1285995241 | Caren R Williams | Nurse Practitioner | 5009 Honeygo Center Drive, Suite 225, Perry Hall, MD 21128 | 2012-06-06 |
| 1336449677 | Indira P Rallapalli | Pharmacist | 9645 Belair Road, Perry Hall, MD 21128 | 2010-11-02 |
| 1942484209 | Jeff Zhang | Orthopaedic Surgery | 5110 Hugunin Way, Perry Hall, MD 21128 | 2007-12-21 |
| 1023047040 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2006-07-02 |
| 1386604593 | J Nicholas Leyko Dds Pa | Dentist | 4204 Forge Road, Perry Hall, MD 21128 | 2006-03-23 |
| 1205447539 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2020-08-11 |
| 1194115287 | Joseph Alexander Yurek Jr. | Pharmacy Technician | 6 Farm Brook Ct, Perry Hall, MD 21128-8808 | 2015-01-28 |
| 1528443629 | Olumide Savage | Occupational Therapist | 8814 Baileys Ct, Perry Hall, MD 21128-8814 | 2015-07-30 |
| Find all providers in zip 21128 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1497892962 | Safe Harbor Christian Counseling | Counselor | 4216 Silver Spring Rd, Perry Hall, MD 21128-9659 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| 1740897685 | Christlyn Ariel Mccaskill | Counselor | 5525 Harford Rd, Baltimore, MD 21214-2233 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | PERRY HALL |
| Zip Code | 21128 |
Please comment or provide details below to improve the information on SAFE HARBOR CHRISTIAN COUNSELING.
| 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.