UPPER BAY COUNSELING & SUPPORT SERVICES, INC. – NPI #1316912652
Clinic/Center

UPPER BAY COUNSELING & SUPPORT SERVICES, INC. is an AHC clinic located in ELKTON, MD. NPPES has assigned the NPI number 1316912652 to UPPER BAY COUNSELING & SUPPORT SERVICES, INC. on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 5 years ago on Jul 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UPPER BAY COUNSELING & SUPPORT SERVICES, INC. below.

NPI Profile for
UPPER BAY COUNSELING & SUPPORT SERVICES, INC.

NPI Number
1316912652
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UPPER BAY COUNSELING & SUPPORT SERVICES, INC.
Primary location
200 BOOTH STREET
ELKTON, MD 21921
Phone: (410) 996-5104 Fax: (410) 996-5197
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUANNE BLUMBERG
CEO
Phone: (410) 996-5104
Updated
Certification Date
Jul 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for UPPER BAY COUNSELING & SUPPORT SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAID INTENSIVE CASE MMD922500500
OTHERMEDICAID REHABMD922900100
MEDICAIDMD922801200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.