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

NPI Status: Active since December 17, 2014

Contact Information

1643 LIBERTY RD STE 203
ELDERSBURG, MD
ZIP 21784
Phone: (410) 740-8066
Fax: (410) 740-8068

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CCS ELDERSBURG - FACILITY FOR MEDICAID

This page provides the complete NPI Profile along with additional information for Ccs Eldersburg - Facility For Medicaid, a provider established in Eldersburg, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1295133692 assigned on December 2014. The practitioner's primary taxonomy code is 261QM0801X with license number 906055 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. Ccs Eldersburg - Facility For Medicaid operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Ccs Eldersburg - Facility For Medicaid. The authorized official of this NPI record is Mark Donovan Lcpc, Lcadc (President)

NPI
1295133692
Provider Legal Name
CONGRUENT COUNSELING SERVICES LLC
Other Organization Name
CCS ELDERSBURG - FACILITY FOR MEDICAID
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1643 LIBERTY RD STE 203 ELDERSBURG, MD 21784
Location Phone
(410) 740-8066
Location Fax
(410) 740-8068
Mailing Address
10630 LITTLE PATUXENT PKWY STE 209 COLUMBIA, MD 21044
Mailing Phone
(410) 740-8066
Mailing Fax
(410) 740-8068
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-17-2014
Last Update Date
12-01-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
906055
License State
MD

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK DONOVAN LCPC, LCADC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(410) 740-8066

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4231881 01MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295133692, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 2 + 3 + 6 + 6 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295133692.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295133692, enumerated as an "organization" on December 17, 2014.

The provider is located at 1643 LIBERTY RD STE 203 ELDERSBURG, MD 21784 and the phone number is (410) 740-8066.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.