| Columbia Counseling Center P.a. | |
|
5525 Twin Knolls Rd Suite 327 Columbia MD 21045-3266 | |
| (410) 992-9149 | |
| (410) 992-9921 |
| Full Name | Columbia Counseling Center P.a. |
|---|---|
| Speciality | Counselor |
| Location | 5525 Twin Knolls Rd, Columbia, Maryland |
| Authorized Official Name and Position | Elisabeth Pesce (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Counseling Center P.a. 5525 Twin Knolls Rd Suite 327 Columbia MD 21045-3266 Ph: (410) 992-9149 | Columbia Counseling Center P.a. 5525 Twin Knolls Rd Suite 327 Columbia MD 21045-3266 Ph: (410) 992-9149 |
| NPI Number | 1578504296 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 9931198843 |
|---|---|
| Medicare Enrollment ID | O20040506001676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578504296 | NPI | - | NPPES |
| W403 | Other | DC | FEDERAL BCBS |
| KH07CO | Other | MD | CAREFIRST MD |
| Provider Name | Thomas R Sixbey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205987088 PECOS PAC ID: 9830163773 Enrollment ID: I20040825000653 |
| Provider Name | Xiaoping Shao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548326119 PECOS PAC ID: 1355362070 Enrollment ID: I20051209000282 |
| Provider Name | Jing Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811001258 PECOS PAC ID: 7214932755 Enrollment ID: I20060915000442 |
| Provider Name | William D Charmak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710078068 PECOS PAC ID: 6507936283 Enrollment ID: I20080606000597 |
| Provider Name | Lana M. Borin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528021953 PECOS PAC ID: 4385836766 Enrollment ID: I20101004000709 |
| Provider Name | Aurelio S Zerla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881615987 PECOS PAC ID: 5395933279 Enrollment ID: I20101220000065 |
| Provider Name | Larry K Grubb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154487072 PECOS PAC ID: 5294914347 Enrollment ID: I20110121000701 |
| Provider Name | Kenneth R Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215017694 PECOS PAC ID: 7911939996 Enrollment ID: I20110202000068 |
| Provider Name | Susan H Minsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053407098 PECOS PAC ID: 9739111717 Enrollment ID: I20110202000281 |
| Provider Name | Melanie Sholtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780994004 PECOS PAC ID: 8426238171 Enrollment ID: I20110211000794 |
| Provider Name | Maria T Slodzinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750554903 PECOS PAC ID: 0840474193 Enrollment ID: I20110411000507 |
| Provider Name | Roseanne M Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699737346 PECOS PAC ID: 2163459785 Enrollment ID: I20110825000256 |
| Provider Name | Virginia D Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235401092 PECOS PAC ID: 3971762048 Enrollment ID: I20120308000514 |
| Provider Name | Apurva N Makadiya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467681239 PECOS PAC ID: 2860634557 Enrollment ID: I20130808000592 |
| Provider Name | Jyoti Kanwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558701896 PECOS PAC ID: 6002041126 Enrollment ID: I20131028000224 |
| Provider Name | Johari M Massey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821282807 PECOS PAC ID: 9436471513 Enrollment ID: I20141126000933 |
| Provider Name | Lisa C Arge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457335606 PECOS PAC ID: 8224098884 Enrollment ID: I20170728001125 |
| Provider Name | Andrea Cruz Quismorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679831200 PECOS PAC ID: 8224313937 Enrollment ID: I20211206000068 |
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