NPIMap

Organization Active NPI

D Allen and Davis Community Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1033603196
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC87113 Issued in MD
Legal business name
D ALLEN AND DAVIS COMMUNITY COUNSELING CENTER, LLC
Doing business as
D Allen and Davis Community Counseling Center, LLC
Practice address
2670 Crain Hwy Ste 401
Waldorf, MD 20601-2818
Phone
(240) 416-6836
Fax
(240) 419-2495
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Deborah Allen, MA, LCPC, NCCNPI 1396122198
Title
Mental Health Therapist
Phone
(240) 416-6836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC87113 MD Primary

Addresses

Primary practice location

2670 Crain Hwy Ste 401
Waldorf, MD 20601-2818

Mailing address

2670 Crain Hwy Ste 401
Waldorf, MD 20601-2818
Phone (240) 416-6836

Other names 1

  • D Allen and Davis Community Counseling Center, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1033603196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012818",
            "telephone_number": "240-416-6836",
            "fax_number": "240-419-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012818",
            "telephone_number": "240-416-6836",
            "fax_number": "240-419-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D ALLEN AND DAVIS COMMUNITY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "240-416-6836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC87113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D Allen and Davis Community Counseling Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.