Healthcare Provider Details

I. General information

NPI: 1427868793
Provider Name (Legal Business Name): INNER COMPASS COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 LILY WAY
ODENTON MD
21113-3853
US

IV. Provider business mailing address

3438 EMMORTON RD # 16
ABINGDON MD
21009-2016
US

V. Phone/Fax

Practice location:
  • Phone: 410-980-5966
  • Fax: 410-941-6204
Mailing address:
  • Phone: 410-980-5966
  • Fax: 410-941-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ADAM JAMES FREITAG
Title or Position: OWNER
Credential: LCSW, LCSW-C
Phone: 410-980-5966