MEDICARE: COUNSELING SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	903093	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	904211	OTHER	MD	SAMIS

General Provider Information

NPI Number	:	1902957319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING SERVICES, INC.

Provider Business Mailing Address
First Line	:	150 WASHINGTON BLVD S FL 2
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-4328
Country	:	US
Telephone Number	:	301-725-5616
Fax Number	:	301-725-0665

Provider Business Practice Location Address
First Line	:	150 WASHINGTON BLVD S FL 2
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-4328
Country	:	US
Telephone Number	:	301-725-5616
Fax Number	:	301-725-0665

Authorized Official
Title or Position	:	DIRECTOR
Name	:	WILLIAM J STRITTMATTER
Credential	:	CAC-AD
Telephone Number	:	301-725-5616

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	08/22/2020

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