AMY FOEHRKOLB, LCPC LLC (NPI# 1528680873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528680873 |
| Entity Type | Organization |
| Organization Name | AMY FOEHRKOLB, LCPC LLC |
| Practice Address |
8021 Ritchie Hwy Pasadena MD 21122-1047 |
| Practice Telephone | 4437948336 |
| Mailing Telephone | 4437948336 |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |
| Authorized Official Name | AMY FOEHRKOLB (OWNER) |
| Authorized Official Telephone | 4437948336 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CMS | 1780843847 | 01 |
| Street Address |
8021 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033128574 | Chackmukal V Cyriac | Internal Medicine | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2006-08-05 |
| 1073729117 | Joseph Fiore Dc Pa | Chiropractor | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2007-05-15 |
| 1295744712 | Surya P Mundra | Internal Medicine | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2006-08-05 |
| 1134138688 | Cyriac and Mundra, Md, Pa | Internal Medicine | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079299 | Jessica Jeffers | Counselor | 649 209th St, Pasadena, MD 21122-1427 | 2020-10-06 |
| 1407453350 | Jessie Ann Crabtree | Counselor | 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-10-05 |
| 1235745118 | Richard S Richardson | Counselor | 146 Harkness Ave, Pasadena, CA 91106-2007 | 2020-09-16 |
| 1467067363 | Kimberley Clayton Blaine | Counselor | 1443 E Washington Blvd Ste 185, Pasadena, CA 91104-2650 | 2020-09-09 |
| 1679185409 | Rodriguez Counseling | Counselor | 2106 Buchanan St, Pasadena, TX 77502-3927 | 2020-08-22 |
| 1992317796 | Carole M Lewis | Counselor | 515 Bonita Ave, Pasadena, CA 91107-5142 | 2020-08-21 |
| 1124637129 | Madeline Myers | Counselor | 3100f Mountain Rd., Pasadena, MD 21122-2018 | 2020-07-26 |
| 1366003279 | John Sovec | Counselor | 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 | 2019-06-23 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1215404868 | Jesus Montelongo-cortez | Counselor | 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 | 2018-10-31 |
| Find all providers in PASADENA | ||||
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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.