| Centrepointe Counseling, Inc. | |
|
17826 New Hampshire Ave Ashton MD 20861-9781 | |
| (800) 491-5369 | |
| (301) 774-3678 |
| Full Name | Centrepointe Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 17826 New Hampshire Ave, Ashton, Maryland |
| Authorized Official Name and Position | Matthew Raeder (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8004915369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrepointe Counseling, Inc. Po Box 339 Ashton MD 20861-0339 Ph: (800) 491-5369 | Centrepointe Counseling, Inc. 17826 New Hampshire Ave Ashton MD 20861-9781 Ph: (800) 491-5369 |
| NPI Number | 1528014966 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 8628021664 |
|---|---|
| Medicare Enrollment ID | O20050302000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528014966 | NPI | - | NPPES |
| 414259400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
| Provider Name | Matthew Francis Raeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578658357 PECOS PAC ID: 1658780952 Enrollment ID: I20210517000733 |
| Provider Name | Daniel C Stinchcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790911840 PECOS PAC ID: 5991248015 Enrollment ID: I20240618001239 |
| Provider Name | Elaine M. Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063958791 PECOS PAC ID: 6608319728 Enrollment ID: I20240618001338 |
| Provider Name | Carolyn Marie Buresh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811008667 PECOS PAC ID: 8224572482 Enrollment ID: I20240628000117 |
| Provider Name | Emily E March |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336768548 PECOS PAC ID: 1153858782 Enrollment ID: I20241220002218 |
| Provider Name | Erin Stine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639568488 PECOS PAC ID: 1759804586 Enrollment ID: I20250402000624 |