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GRASSROOTS CRISIS INTERVENTION CENTER, INC.
NPI 1003657040
Community/Behavioral Health in Columbia, MD

Active since June 04, 2024CLIA 21D2233526 · Waiver
8990 OLD ANNAPOLIS RD STE A, COLUMBIA, MD 21045(410) 531-6677 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grassroots Crisis Intervention Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRASSROOTS CRISIS INTERVENTION CENTER, INC. (NPI 1003657040) is a healthcare organization registered as a community/behavioral health in Columbia, Maryland and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Mariana Izraelson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003657040
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGRASSROOTS CRISIS INTERVENTION CENTER, INC.
Location Address8990 OLD ANNAPOLIS RD STE AColumbia, MD 21045-2182
Mailing Address6700 Freetown RdColumbia, MD 21044-4137 · (410) 531-6006
Phone(410) 531-6677
Organization SubpartNo
Authorized OfficialMariana IzraelsonExecutive Director · (410) 531-6006
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1003657040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8990 OLD ANNAPOLIS RD STE A, Columbia, MD 21045
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2233526

Grassroots Crisis Intervention Center · Columbia, MD
Active · expires Aug 23, 2027
CLIA Number21D2233526
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorSweetie H. Doychinov
Laboratory Phone(410) 531-6006
Laboratory LocationGrassroots Crisis Intervention Center8990 Old Annapolis Rd Ste A, Columbia, MD 21045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LYNN EATON BUSTILLOS RN
Nurse Practitioner (Psychiatric/Mental Health)
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD 21045
Howard County (410) 531-6006
GRASSROOTS CRISIS INTERVENTION CENTER
Community/Behavioral Health
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD 21045
Howard County (410) 531-6006
SARAH MCCOY LCSW-C
Social Worker (Clinical)
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD 21045
Howard County (410) 531-6006
SARAH MADISON
Social Worker (Clinical)
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD 21045
Howard County (410) 531-6677
GRASSROOTS CRISIS INTERVENTION CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
8990 OLD ANNAPOLIS RD STE A
COLUMBIA, MD 21045
Howard County (410) 531-6006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grassroots Crisis Intervention Center, Inc.'s NPI number?

The NPI number for Grassroots Crisis Intervention Center, Inc. is 1003657040. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Grassroots Crisis Intervention Center, Inc. located?

Grassroots Crisis Intervention Center, Inc. is located at 8990 Old Annapolis Rd Ste A, Columbia, MD 21045. The listed phone number is (410) 531-6677.

What is Grassroots Crisis Intervention Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Grassroots Crisis Intervention Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2233526) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grassroots Crisis Intervention Center, Inc. was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.