Provider Demographics
NPI:1376422253
Name:INNER COMPASS COUNSELING GROUP, LLC
Entity type:Organization
Organization Name:INNER COMPASS COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER AND CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FREITAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-980-5966
Mailing Address - Street 1:3438 EMMORTON RD # 16
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2016
Mailing Address - Country:US
Mailing Address - Phone:410-913-2818
Mailing Address - Fax:
Practice Address - Street 1:90 AILERON CT STE 6A
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-3012
Practice Address - Country:US
Practice Address - Phone:410-913-2818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INNER COMPASS COUNSELING GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD845065000Medicaid
MD211758400Medicaid