| Mr Jason Holmes, LCPC | |
|
5430 Campbell Blvd Ste 211, White Marsh, MD 21162-5504 | |
| (410) 893-4600 | |
| (443) 640-4358 |
| Full Name | Mr Jason Holmes |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 5430 Campbell Blvd Ste 211, White Marsh, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295299683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LGP7659 (Maryland) | Secondary |
| 101YP2500X | Counselor - Professional | LC13829 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Harbor Behavioral Care Llc | 0345514675 | 73 |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Holmes, LCPC 9636 Alda Dr, Baltimore, MD 21234-1848 Ph: (410) 303-7615 | Mr Jason Holmes, LCPC 5430 Campbell Blvd Ste 211, White Marsh, MD 21162-5504 Ph: (410) 893-4600 |
Cynthia Lynn Pixton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11412 Eunice Ct, White Marsh, MD 21162 Phone: 443-867-0528 | |
Justin Michael Higgins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd Ste 211, White Marsh, MD 21162 Phone: 410-838-9500 | |
Erica Patrice Jones, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd Ste 113, White Marsh, MD 21162 Phone: 410-931-5010 |