Provider Demographics
NPI:1295385763
Name:ASCEND MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:ASCEND MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:443-625-8000
Mailing Address - Street 1:320 E TOWSONTOWN BLVD STE 1W
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5323
Mailing Address - Country:US
Mailing Address - Phone:443-625-8000
Mailing Address - Fax:
Practice Address - Street 1:320 E TOWSONTOWN BLVD STE 1W
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5323
Practice Address - Country:US
Practice Address - Phone:410-988-3240
Practice Address - Fax:410-777-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8720257Medicaid
MD872057Medicaid