NPIMap

Organization Active NPI

True Self Holistic Therapy

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1003575473
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRUE SELF HOLISTIC THERAPY
Practice address
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone
(301) 834-1143
Fax
(301) 358-6416
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tiarra Monique Abu-Bakr, LCPC
Title
Clinical Supervisor
Phone
(301) 834-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Mailing address

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (301) 834-1143

Other names 1

  • True Self Holistic Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4660 Crain Hwy
Unit 23
White Plains, MD 20695

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1003575473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD STE 400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "301-834-1143",
            "fax_number": "301-358-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD STE 400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "301-834-1143",
            "fax_number": "301-358-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SELF HOLISTIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "ABU-BAKR",
        "authorized_official_first_name": "TIARRA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "301-834-1143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Self Holistic Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "True Self Holistic Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.