WATERSHED COUNSELING SERVICE (NPI# 1861857500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861857500 |
| Entity Type | Organization |
| Organization Name | WATERSHED COUNSELING SERVICE |
| Practice Address |
246 Merrimac Court Prince Frederick MD 20678 |
| Mailing Address |
Po Box 453 246 Merrimac Court Prince Frederick MD 20678-0453 |
| Practice Telephone | 4434864848 |
| Mailing Telephone | 4434864848 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | DR. KAREN E RAY (DIRECTOR) |
| Authorized Official Telephone | 4434864848 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
246 MERRIMAC COURT |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938953 | Watershed Counseling Services, LLC | Social Worker | 246 Merrimac Court, Prince Frederick, MD 20678-0453 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| 1497944888 | Dr. Saleh & Associates, LLC | Psychiatry & Neurology | 110 Hospital Rd., Suite 302, Prince Frederick, MD 20678 | 2007-10-22 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639677727 | Tiffany Ann Mcfarland | Counselor | 2244 Saint Margaret Blvd, Prince Frederick, MD 20678-4318 | 2018-01-24 |
| 1346633237 | Terri Kay Lucas | Counselor | 65 Duke St Ste 202, Prince Frederick, MD 20678-6128 | 2015-03-17 |
| 1194056556 | Kristy Charnock | Counselor | 422 Solomons Island Rd N, Prince Frederick, MD 20678-3909 | 2010-01-26 |
| 1912543802 | Paul David Ims IIi | Counselor | 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | 2019-11-26 |
| 1407325707 | Justin Whiteman | Counselor | 65 Duke St Ste 203, Prince Frederick, MD 20678-6128 | 2018-11-15 |
| 1285092007 | Elaine Kyle | Counselor | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2016-02-08 |
| 1255726907 | Kristen Olivo | Counselor | 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-3917 | 2015-03-31 |
| 1598175085 | Rodney James Roundtree Jr. | Counselor | 590 Main St, Prince Frederick, MD 20678-3346 | 2014-05-06 |
| 1184044943 | Karen E Carloni | Counselor | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-04-21 |
| 1154460541 | Susan Young | Counselor | 110 Hospital Rd, Suite 302, Prince Frederick, MD 20678 | 2007-02-05 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on WATERSHED COUNSELING SERVICE.
| 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.