Active NPI
Counseling Professionals Incorporated
- Substance Use Disorder Rehabilitation Clinic/Center
- Waldorf, MD
National Provider Identifier
1093007411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- LCA456
- Legal business name
- COUNSELING PROFESSIONALS INCORPORATED
- Practice address
- 3555 Leonardtown Rd
Suite#8
Waldorf, MD 20601-3617 - Phone
- (301) 374-2013
- Fax
- (301) 374-2014
- NPI assigned
- May 3, 2011
- Last updated
- May 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Wayne Dixon, MA, LCADC
- Title
- President/ Director
- Phone
- (301) 374-2013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | LCA456 | MD | Primary |
Addresses
Primary practice location
3555 Leonardtown Rd
Suite#8
Waldorf, MD 20601-3617
Mailing address
3555 Leonardtown Rd
Suite#8
Waldorf, MD 20601-3617
Phone (301) 374-2013
National Provider Directory
National Provider Directory- Tax ID family
- Counseling Professional Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Lanham, MD
- NPI 1952624439
Locations
3555 Leonardtown Rd
Ste 8
Waldorf, MD 20601
Phone (301) 374-2013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304380800000",
"number": "1093007411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 LEONARDTOWN RD",
"address_2": "SUITE#8",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013617",
"telephone_number": "301-374-2013",
"fax_number": "301-374-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 LEONARDTOWN RD",
"address_2": "SUITE#8",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013617",
"telephone_number": "301-374-2013",
"fax_number": "301-374-2014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING PROFESSIONALS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
"authorized_official_telephone_number": "301-374-2013",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LCADC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MD",
"license": "LCA456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.