Rejuvenated Minds Theraputic Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REJUVENATED MINDS THERAPUTIC SERVICES LLC

Practice address

137 National PLZ Ste 300
Oxon Hill, MD 20745-1153

Phone

(301) 219-6955

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shawnessa Millicent Devonish, LGPC, NCCNPI 1386234474

Title

Owner/ Ceo

Phone

(301) 219-6955

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawnessa Millicent Devonish, MA, LGPC, NCC

  • Mental Health Counselor
  • Oxon Hill, MD
  • NPI 1386234474
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1053902502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ STE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451153",
            "telephone_number": "301-219-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ STE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451153",
            "telephone_number": "301-219-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATED MINDS THERAPUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "DEVONISH",
        "authorized_official_first_name": "SHAWNESSA",
        "authorized_official_middle_name": "MILLICENT",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "301-219-6955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LGPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahnaz Hamid Quraishi, M.D.
• Rai Care Centers of Maryland I, LLC
• Joan Redfearn-Thompson, M.D.
• Letitia Reeves
• Regional Health Care Alliance
• Gail Renwick, LMSW
• Quartez Ricahrdson
• Kameke Richardson-Owens
• Estelle Jacqueline Richardson, LICSW
• Rosenie Ridore

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.