MEDICARE: CONGRUENT COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103T00000X	Psychologist
3	2084P0800X	Psychiatry Physician
4	1041C0700X	Clinical Social Worker
5	101YM0800X	Mental Health Counselor
6	101Y00000X	Counselor
7	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306851837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONGRUENT COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	10630 LITTLE PATUXENT PKWY STE 209
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6278
Country	:	US
Telephone Number	:	410-740-8066
Fax Number	:	410-740-8068

Provider Business Practice Location Address
First Line	:	10630 LITTLE PATUXENT PKWY
Second Line	:	SUITE 209
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6278
Country	:	US
Telephone Number	:	410-740-8066
Fax Number	:	410-740-8068

Authorized Official
Title or Position	:	OWNER
Name	:	AMY ROTTIER
Credential	:
Telephone Number	:	443-917-2888

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	09/17/2025

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Directions to “CONGRUENT COUNSELING SERVICES LLC ” Practice Location

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