Organization Active NPI

Counseling Professionals Incorporated

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waldorf, MD
National Provider Identifier
1093007411
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
LCA456 Issued in MD
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.