Healthcare Provider Details

I. General information

NPI: 1295643427
Provider Name (Legal Business Name): HOME SAFE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 THOMAS JOHNSON DR STE 105
FREDERICK MD
21702-4498
US

IV. Provider business mailing address

176 THOMAS JOHNSON DR STE 105
FREDERICK MD
21702-4498
US

V. Phone/Fax

Practice location:
  • Phone: 240-315-6175
  • Fax:
Mailing address:
  • Phone: 240-315-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JASON BAIR
Title or Position: OWNER/THERAPIST
Credential: LCPC
Phone: 240-315-6175