NPIMap

Organization Active NPI

Saundra Walker Harris

Doing business as Counseling Services of Mitchellville

  • Mental Health Counselor
  • Largo, MD
National Provider Identifier
1093845562
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
03452 Issued in MD
Legal business name
SAUNDRA WALKER HARRIS
Doing business as
Counseling Services of Mitchellville
Practice address
9701 Apollo Dr
Suite 391
Largo, MD 20774
Phone
(301) 583-1181
Fax
(301) 583-1184
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Saundra Walker Harris, LCSWNPI 1245278837
Title
Director
Phone
(310) 583-1181

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 03452 MD Primary

Addresses

Primary practice location

9701 Apollo Dr
Suite 391
Largo, MD 20774

Mailing address

9701 Apollo Dr
Suite 391
Largo, MD 20774
Phone (301) 583-1181

Other names 1

  • Counseling Services of Mitchellville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000378 DC Part B Supplier - Clinic/Group Practice 5890713002 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, MD

National Provider Directory

National Provider Directory

Locations

9701 Apollo Dr
Ste 391
Upper Marlboro, MD 20774
Phone (301) 583-1181

11141 Georgia Ave
Ste 326
Wheaton, MD 20902
Phone (301) 565-2156

Practitioners & affiliated clinicians

Practitioners 5

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1093845562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "SUITE 391",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-583-1181",
            "fax_number": "301-583-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "SUITE 391",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-583-1181",
            "fax_number": "301-583-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDRA WALKER HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WALKER HARRIS",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-583-1181",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Services of Mitchellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.