NPIMap

Organization Active NPI

Self Cared for Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clements, MD
National Provider Identifier
1023602174
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SELF CARED FOR COUNSELING SERVICES
Practice address
24548 Budds Creek Rd
Clements, MD 20624-2323
Phone
(240) 485-8799
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Chenelle Ellie, LCSW-CNPI 1720487143
Title
Director
Phone
(240) 485-8799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

24548 Budds Creek Rd
Clements, MD 20624-2323

Mailing address

9466 Georgia Ave # 2000
Silver Spring, MD 20910-1456

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chenelle.ellie@selfcared4.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1023602174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9466 GEORGIA AVE # 2000",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24548 BUDDS CREEK RD",
            "city": "CLEMENTS",
            "state": "MD",
            "postal_code": "206242323",
            "telephone_number": "240-485-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARED FOR COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "ELLIE",
        "authorized_official_first_name": "CHENELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-485-8799",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chenelle.ellie@selfcared4.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.selfcared4.com",
            "address_1": "9466 Georgia Ave # 2000",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209101456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clements, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.