Healthcare Provider Details

I. General information

NPI: 1295385763
Provider Name (Legal Business Name): ASCEND MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E TOWSONTOWN BLVD STE 1W
TOWSON MD
21286-5323
US

IV. Provider business mailing address

320 E TOWSONTOWN BLVD STE 1W
BALTIMORE MD
21286-5323
US

V. Phone/Fax

Practice location:
  • Phone: 410-988-3240
  • Fax: 410-777-8813
Mailing address:
  • Phone: 443-625-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier8720257
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer
# 2
Identifier872057
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer

VIII. Authorized Official

Name: JAMES MASON II
Title or Position: OWNER/DIRECTOR OF OPERATIONS
Credential:
Phone: 443-625-8000