PHAZE COUNSELING SERVICES INC
NPI 1447861174
Clinic/Center - Mental Health (Including Community Mental Health Center) in Nottingham, MD

Active since August 14, 2020
4425 FITCH AVE STE 118, NOTTINGHAM, MD 21236(410) 870-2125 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phaze Counseling Services Inc NPPES

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

PHAZE COUNSELING SERVICES INC (NPI 1447861174) is a healthcare organization registered as a mental health (including community mental health center) in Nottingham, Maryland and active in the NPI registry since August 2020. The organization lists Shanntel Monique Gladney, Owner, as its authorized official.

NPPES Registry Identity

NPI1447861174
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHAZE COUNSELING SERVICES INC
Location Address4425 FITCH AVE STE 118Nottingham, MD 21236-3927
Mailing Address4425 Fitch Ave Ste 118Nottingham, MD 21236-3927 · (410) 870-2125
Organization SubpartNo
Authorized OfficialShanntel Monique GladneyOwner · (443) 622-8755
Enumeration DateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1447861174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4425 FITCH AVE STE 118, Nottingham, MD 21236

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phaze Counseling Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Phaze Counseling Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1821437559
4425 FITCH AVE
Nottingham, MD 21236
(443) 622-8755
✔ PECOSSame address
Nurse Practitioner
NPI 1053921551
2600 LUISS DEANE DR
Parkville, MD 21234
(301) 917-4386
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1629828710
13204 CRUTCHFIELD AVE
Bowie, MD 20720
(240) 603-7314
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phaze Counseling Services Inc's NPI number?

The NPI number for Phaze Counseling Services Inc is 1447861174. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Phaze Counseling Services Inc located?

Phaze Counseling Services Inc is located at 4425 Fitch Ave Ste 118, Nottingham, MD 21236. The listed phone number is (410) 870-2125.

What is Phaze Counseling Services Inc'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.

Is Phaze Counseling Services Inc enrolled in Medicare?

Yes. Phaze Counseling Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phaze Counseling Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Phaze Counseling Services Inc, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phaze Counseling Services Inc was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.