| Pivot Point Counseling, Llc | |
|
4c North Ave Ste 423 Bel Air MD 21014-2334 | |
| (410) 449-4955 | |
| (443) 787-0306 |
| Full Name | Pivot Point Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4c North Ave Ste 423, Bel Air, Maryland |
| Authorized Official Name and Position | Katelyn Trentalange (DIRECTOR) |
| Authorized Official Contact | 4103708637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Point Counseling, Llc 4c North Ave Ste 423 Bel Air MD 21014-2334 Ph: (410) 449-4955 | Pivot Point Counseling, Llc 4c North Ave Ste 423 Bel Air MD 21014-2334 Ph: (410) 449-4955 |
| NPI Number | 1972954824 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 2567739170 |
|---|---|
| Medicare Enrollment ID | O20170602001808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972954824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 16625 (Maryland) | Secondary |
| Provider Name | Anastasia L Tusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063777043 PECOS PAC ID: 5294982294 Enrollment ID: I20120827000575 |
| Provider Name | Katelyn P Trentalange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922418680 PECOS PAC ID: 8820365430 Enrollment ID: I20170522000775 |
| Provider Name | Lori H Seraphin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457961641 PECOS PAC ID: 5698191377 Enrollment ID: I20200812000526 |
| Provider Name | Michael T Bowling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851053573 PECOS PAC ID: 3476948571 Enrollment ID: I20220325002130 |
| Provider Name | Karl Webner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598947285 PECOS PAC ID: 5193191922 Enrollment ID: I20221020000047 |
| Provider Name | Rachel Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588215297 PECOS PAC ID: 8921479742 Enrollment ID: I20230113000933 |
| Provider Name | Jade A Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801369723 PECOS PAC ID: 9133576820 Enrollment ID: I20231117001622 |
| Provider Name | Taylor M Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033769567 PECOS PAC ID: 4183072069 Enrollment ID: I20231204001013 |
| Provider Name | Barbara Joyce Ruark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033682737 PECOS PAC ID: 4082059944 Enrollment ID: I20240301000146 |
| Provider Name | Daniel Wayne Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144893280 PECOS PAC ID: 6204277478 Enrollment ID: I20240520000183 |
| Provider Name | Samantha Lynn Webster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982398012 PECOS PAC ID: 3476995440 Enrollment ID: I20240522000740 |
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