CCS ELDERSBURG - FACILITY FOR MEDICAID
NPI 1295133692
Clinic/Center - Mental Health (Including Community Mental Health Center) in Eldersburg, MD

Active since December 17, 2014
1643 LIBERTY RD STE 203, ELDERSBURG, MD 21784(410) 740-8066(410) 740-8068 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2022, Apr 22, 2020, Feb 12, 2019 and 1 more (4 updates tracked since 2017).

About Ccs Eldersburg - Facility For Medicaid NPPES

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

CCS ELDERSBURG - FACILITY FOR MEDICAID (NPI 1295133692) is a healthcare organization registered as a mental health (including community mental health center) in Eldersburg, Maryland and active in the NPI registry since December 2014. The organization lists Mark Donovan, President, as its authorized official.

NPPES Registry Identity

NPI1295133692
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCONGRUENT COUNSELING SERVICES LLC
Location Address1643 LIBERTY RD STE 203Eldersburg, MD 21784-6543
Mailing Address10630 Little Patuxent Pkwy Ste 209Columbia, MD 21044-6278 · (410) 740-8066 · Fax (410) 740-8068
Fax(410) 740-8068
Organization SubpartYesParent: Congruent Counseling Services
Authorized OfficialMark DonovanPresident · (410) 740-8066
Enumeration DateDecember 17, 2014
Last NPPES UpdateDecember 1, 20224 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1295133692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in MD · 906055
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1643 LIBERTY RD STE 203, Eldersburg, MD 21784

Other Names 1

Other NameCcs Eldersburg - Facility For Medicaid

Other Identifiers 1

Medicaid4231881 01MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1643 LIBERTY RD STE 203
ELDERSBURG, MD 21784

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 Congruent Counseling Services LLC's NPI number?

The NPI number for Congruent Counseling Services LLC is 1295133692. It was assigned to this organization in the NPPES registry on December 17, 2014. The provider is also known as Ccs Eldersburg - Facility For Medicaid.

Where is Congruent Counseling Services LLC located?

Congruent Counseling Services LLC is located at 1643 Liberty Rd Ste 203, Eldersburg, MD 21784. The listed phone number is (410) 740-8066.

What is Congruent Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Congruent Counseling Services LLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.