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 is a Mental Health Counselor 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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