Organization
COLUMBIA COUNSELING CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH PESCE (SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Mailing address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC2348
MD
101Y00000X
Counselor
LC2429
MD
101YM0800X
Mental Health Counselor
LC1232
MD
101YM0800X
Mental Health Counselor
Primary
LC1673
MD
103TC0700X
Clinical Psychologist
03544
MD
103TC0700X
Clinical Psychologist
04092
MD
103TC0700X
Clinical Psychologist
1003
MD
103TC0700X
Clinical Psychologist
2350
MD
103TC0700X
Clinical Psychologist
3296
MD
1041C0700X
Clinical Social Worker
07183
MD
1041C0700X
Clinical Social Worker
09110
MD
1041C0700X
Clinical Social Worker
10602
MD
1041C0700X
Clinical Social Worker
12435
MD
2084P0800X
Psychiatry Physician
D0060930
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KH07CO
CAREFIRST MD
MD
01
—
W403
FEDERAL BCBS
DC
Enumeration date
06/10/2006
Last updated
02/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us