NPIMap

Organization Active NPI

Southern Maryland Counseling, LLC

  • Professional Counselor
  • Hollywood, MD
National Provider Identifier
1093129058
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1273 Issued in MD
Legal business name
SOUTHERN MARYLAND COUNSELING, LLC
Practice address
43288 Joy LN
Hollywood, MD 20636-2608
Phone
(240) 472-3522
Fax
(410) 882-1079
NPI assigned
Jun 18, 2014
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN MARYLAND COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Diana Lynne Kraft, LCPCNPI 1154511749
Title
Managing Member
Phone
(410) 231-2124

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
Professional Counselor 101YP2500X LC1273 MD Primary

Addresses

Primary practice location

43288 Joy LN
Hollywood, MD 20636-2608

Mailing address

1295 Hollidge Rd
Lusby, MD 20657-2682
Phone (410) 231-2124

National Provider Directory

National Provider Directory
Tax ID family
Southern Maryland CNSL LLC3 organizations share this tax ID, including this one
Part of
Southern Maryland CNSL LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1093129058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HOLLIDGE RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572682",
            "telephone_number": "410-231-2124",
            "fax_number": "410-882-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43288 JOY LN",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206362608",
            "telephone_number": "240-472-3522",
            "fax_number": "410-882-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MARYLAND COUNSELING LLC",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-231-2124",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.