Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magellan Provider Services of Ca PC

Organization Mental Health Counselor · NPI 1548984404

Magellan Provider Services of Ca PC provides Mental Health Counselor services in Columbia, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8621 Robert Fulton Dr
Columbia, MD 21046-2620
Phone: (833) 605-0634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548984404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Frey — Chief Financial Officer · (314) 406-8632
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address8621 Robert Fulton Dr, Columbia, MD 21046-2620

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