| Cedar Ridge Counseling Centers Llc | |
|
1311 Londontown Blvd Suite 130a Eldersburg MD 21784-6439 | |
| (410) 552-0773 | |
| (443) 200-0267 |
| Full Name | Cedar Ridge Counseling Centers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 Londontown Blvd, Eldersburg, Maryland |
| Authorized Official Name and Position | Tina Fry (CEO/DIRECTOR) |
| Authorized Official Contact | 4439047832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Counseling Centers Llc Po Box 1229 Sykesville MD 21784-1229 Ph: (410) 552-0773 | Cedar Ridge Counseling Centers Llc 1311 Londontown Blvd Suite 130a Eldersburg MD 21784-6439 Ph: (410) 552-0773 |
| NPI Number | 1932103926 |
|---|---|
| Provider Enumeration Date | 06/08/2005 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 4981649738 |
|---|---|
| Medicare Enrollment ID | O20110628000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932103926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Maryland) | Primary |
| Provider Name | Steven Wechsler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053424531 PECOS PAC ID: 7719970904 Enrollment ID: I20040405000840 |
| Provider Name | Mary B Bracone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457374407 PECOS PAC ID: 3870597370 Enrollment ID: I20060913000542 |
| Provider Name | Amy A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235138793 PECOS PAC ID: 0244313971 Enrollment ID: I20080218000726 |
| Provider Name | Denise L Meads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013023654 PECOS PAC ID: 5395897946 Enrollment ID: I20090714000069 |
| Provider Name | Catherine S. Bonny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598780348 PECOS PAC ID: 8325182371 Enrollment ID: I20100215000594 |
| Provider Name | Judy S Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831361104 PECOS PAC ID: 4587847298 Enrollment ID: I20110317000559 |
| Provider Name | Holly Chalk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174853253 PECOS PAC ID: 3779761291 Enrollment ID: I20110701000019 |
| Provider Name | Matthew Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154518702 PECOS PAC ID: 5395887806 Enrollment ID: I20110713000728 |
| Provider Name | Lynn Difatta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922388099 PECOS PAC ID: 6103098959 Enrollment ID: I20111020000464 |
| Provider Name | Amy R Rudich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659766293 PECOS PAC ID: 0143549246 Enrollment ID: I20150511002178 |
| Provider Name | Susan M Iekel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588839633 PECOS PAC ID: 4789863572 Enrollment ID: I20150714001244 |
| Provider Name | Elizabeth Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437521184 PECOS PAC ID: 1951604552 Enrollment ID: I20160114000909 |
| Provider Name | Nicole Macri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821328592 PECOS PAC ID: 7315237211 Enrollment ID: I20160606001380 |
| Provider Name | Jennifer W Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093120677 PECOS PAC ID: 2567736812 Enrollment ID: I20170925003135 |
| Provider Name | Alexandra Fairbend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902270648 PECOS PAC ID: 3375809965 Enrollment ID: I20171115001102 |
| Provider Name | Mary Beth Chubb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396018008 PECOS PAC ID: 3779846464 Enrollment ID: I20180411000320 |
| Provider Name | Judith R Kunnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265581839 PECOS PAC ID: 3375505928 Enrollment ID: I20191104001262 |
| Provider Name | Ashley N Sweet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609367911 PECOS PAC ID: 8123450228 Enrollment ID: I20191111002654 |
| Provider Name | Emily L Angerhofer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184266819 PECOS PAC ID: 8123450061 Enrollment ID: I20191115000295 |
| Provider Name | Francesca M Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114481579 PECOS PAC ID: 4082041595 Enrollment ID: I20200224000245 |
| Provider Name | Janelle M Mancuso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053726604 PECOS PAC ID: 5395089627 Enrollment ID: I20200804002475 |
| Provider Name | Jamaal M Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346728920 PECOS PAC ID: 2769885284 Enrollment ID: I20210721002838 |
| Provider Name | Amy Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255452439 PECOS PAC ID: 2668423088 Enrollment ID: I20210901003850 |
| Provider Name | Ezinwanne Irobereachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221236 PECOS PAC ID: 0143622548 Enrollment ID: I20211022000013 |
| Provider Name | Karisa E Nastos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477102127 PECOS PAC ID: 6800263971 Enrollment ID: I20221102000463 |
| Provider Name | Seth Patrick Ditman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174251797 PECOS PAC ID: 9830564384 Enrollment ID: I20230414000084 |
| Provider Name | Sarah Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265147250 PECOS PAC ID: 4688039746 Enrollment ID: I20230426000034 |
| Provider Name | Laura Humphries-bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407401797 PECOS PAC ID: 8729448691 Enrollment ID: I20230724003923 |
| Provider Name | Ashtin Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285310656 PECOS PAC ID: 8325409006 Enrollment ID: I20230727001435 |
| Provider Name | Amy Rich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386973063 PECOS PAC ID: 2769831601 Enrollment ID: I20231218001589 |
| Provider Name | Jessica Luty Kabrhel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871783621 PECOS PAC ID: 0941395867 Enrollment ID: I20240117001097 |
| Provider Name | Joseph Prajzner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689680423 PECOS PAC ID: 4385092303 Enrollment ID: I20240314003350 |
| Provider Name | Therese Moran-conlon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013371616 PECOS PAC ID: 8123476629 Enrollment ID: I20240320004256 |
| Provider Name | Kelley Kujan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740898717 PECOS PAC ID: 9931557014 Enrollment ID: I20240419002780 |
| Provider Name | Maegan Dougherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992277487 PECOS PAC ID: 9931548187 Enrollment ID: I20240419002957 |
| Provider Name | Sara Trescott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003287905 PECOS PAC ID: 7416396676 Enrollment ID: I20240419003259 |
| Provider Name | Theodora Adedeji |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437717246 PECOS PAC ID: 4880042902 Enrollment ID: I20240419003404 |
| Provider Name | Brittany Kellner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427617620 PECOS PAC ID: 0446690143 Enrollment ID: I20240429001673 |
| Provider Name | Robert Humphreys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871063149 PECOS PAC ID: 7012316573 Enrollment ID: I20240429003220 |
| Provider Name | Maura Livingstone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033680459 PECOS PAC ID: 0042650699 Enrollment ID: I20240430000212 |
| Provider Name | Jolene Niehaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003531195 PECOS PAC ID: 1456709658 Enrollment ID: I20240503001418 |
| Provider Name | Elizabeth Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457627655 PECOS PAC ID: 9638510803 Enrollment ID: I20240520000270 |
| Provider Name | Tracey Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265903009 PECOS PAC ID: 5991147183 Enrollment ID: I20240520001254 |
| Provider Name | Donald Mcnamee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982715041 PECOS PAC ID: 5597107789 Enrollment ID: I20240520001393 |
| Provider Name | Wendy Dechowitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508321290 PECOS PAC ID: 3870941925 Enrollment ID: I20240520002667 |
| Provider Name | Kathleen Mahony |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053858290 PECOS PAC ID: 0345698676 Enrollment ID: I20240523000637 |
| Provider Name | Michael Mandel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003387564 PECOS PAC ID: 8921457946 Enrollment ID: I20240524002120 |
| Provider Name | Richard Conway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710530936 PECOS PAC ID: 5395289789 Enrollment ID: I20240626002738 |
| Provider Name | Mach Meas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255935862 PECOS PAC ID: 9739623380 Enrollment ID: I20240708000235 |
| Provider Name | Christina Blackwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629653787 PECOS PAC ID: 0042758922 Enrollment ID: I20240812000763 |
| Provider Name | Tamara Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477010478 PECOS PAC ID: 3870031818 Enrollment ID: I20240821002275 |
| Provider Name | Catherine Orzolek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871325035 PECOS PAC ID: 0446784961 Enrollment ID: I20241106002924 |
| Provider Name | Kristina Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366868382 PECOS PAC ID: 4981052198 Enrollment ID: I20241210001807 |
| Provider Name | Laura Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073819090 PECOS PAC ID: 1456709021 Enrollment ID: I20241212000341 |
| Provider Name | Nikolay Sergeevykh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205166246 PECOS PAC ID: 8325575889 Enrollment ID: I20241220003577 |
| Provider Name | Octavia Sykes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538691456 PECOS PAC ID: 9638606726 Enrollment ID: I20250101000125 |
| Provider Name | Allison Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386377190 PECOS PAC ID: 8729500681 Enrollment ID: I20250320000420 |
| Provider Name | Jennifer Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063228088 PECOS PAC ID: 5395268411 Enrollment ID: I20250331000945 |
Katie Thompson Lcpc, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Londontown Blvd Ste 119, Eldersburg, MD 21784 Phone: 443-650-8480 | |
Impact Dui, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Liberty Rd Unit 102, Eldersburg, MD 21784 Phone: 410-581-4900 | |
Congruent Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 Liberty Rd Ste 203, Eldersburg, MD 21784 Phone: 410-740-8066 Fax: 410-740-8068 | |
Impact Dui, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Liberty Rd Unit 102, Eldersburg, MD 21784 Phone: 410-581-4900 | |
Discoveries Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Liberty Rd, Suite 195, Eldersburg, MD 21784 Phone: 443-340-7427 | |
Anna Rausch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Carroll St, Eldersburg, MD 21784 Phone: 410-795-7270 | |
Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 Liberty Rd, Suite 204, Eldersburg, MD 21784 Phone: 410-552-5215 Fax: 410-552-5216 |