CONGRUENT COUNSELING SERVICES LLC NPI 1053718981

NPI Information

  • NPI: 1053718981
  • Provider Name: CONGRUENT COUNSELING SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: CCS MILLERSVILLE - MEDICAID FACILITY
  • Address: 8638 VETERANS HWY STE 301
    MILLERSVILLE, MD
    ZIP 21108
  • Phone: (410) 740-8066

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NPI Details

CONGRUENT COUNSELING SERVICES LLC is a mental health (including community mental health center) clinic center in Millersville, MD. CONGRUENT COUNSELING SERVICES LLC NPI is 1053718981. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ccs Millersville - Medicaid Facility.

The provider's business location address is:

8638 VETERANS HWY STE 301
MILLERSVILLE, MD
ZIP 21108-422
Phone: (410) 740-8066
Fax: (410) 740-8068

The provider's authorized official is Mark David Donovan .
The authorized official title is Ceo and has the following contact phone number (410) 740-8066.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)905838MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14231881-03MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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