GRASSROOTS CRISIS INTERVENTION CENTER (NPI# 1447850656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447850656 |
| Entity Type | Organization |
| Organization Name | GRASSROOTS CRISIS INTERVENTION CENTER |
| Practice Address |
6700 Freetown Rd Columbia MD 21044-4137 |
| Practice Telephone | 4105316006 |
| Practice Fax Number | 4105311724 |
| Mailing Telephone | 4105316006 |
| Mailing Fax Number | 4105311724 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ANNA T KATZ (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4105316006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
6700 FREETOWN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801444153 | Katherine Ann Bennett | Nurse Practitioner | 6700 Freetown Rd, Columbia, MD 21044-4137 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1427678051 | Colacalm LLC | Clinic/Center | 1332 Main St Ste 203205, Columbia, SC 29201-6201 | 2020-04-23 |
| 1891329322 | Individual Marriage and Family Enrichment LLC | Clinic/Center | 601 W Nifong Blvd Ste 1e, Columbia, MO 65203-6804 | 2020-02-24 |
| 1760042634 | Serenity Comprehensive Solutions, LLC | Clinic/Center | 26 Garden Springs Rd, Columbia, SC 29209-1716 | 2019-06-13 |
| 1346809100 | Breakthrough Counseling & Consulting, LLC | Clinic/Center | 1 Windsor Cv Ste 106, Columbia, SC 29223-1833 | 2019-06-06 |
| 1235613837 | Foundations Family Life Counseling and Consulting, LLC | Clinic/Center | 2917 Millwood Ave # B, Columbia, SC 29205-1334 | 2018-09-19 |
| 1790298560 | Rise Beyond Counseling, LLC | Clinic/Center | 2218 Devine St, Columbia, SC 29205-2426 | 2017-11-14 |
| Find all providers in COLUMBIA | ||||
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| 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.