Organization Active NPI

PC Counseling Services, LLC

  • Professional Counselor
  • La Plata, MD
National Provider Identifier
1104224625
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5129 Issued in MD
Legal business name
PC COUNSELING SERVICES, LLC
Practice address
616 Charles St Ste 103
La Plata, MD 20646-5938
Phone
(301) 653-9587
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Anita Wiley, LCPCNPI 1174773378
Title
Licensed Clinical Prof Counselor
Phone
(301) 653-9587

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC5129 MD Primary

Addresses

Primary practice location

616 Charles St Ste 103
La Plata, MD 20646-5938

Mailing address

616 Charles St Ste 103
La Plata, MD 20646-5938
Phone (301) 653-9587

National Provider Directory

National Provider Directory

Locations

616 Charles St
Ste 103
La Plata, MD 20646
Phone (301) 653-9587

11680 Doolittle Dr
Ste 116
Waldorf, MD 20602

Practitioners & affiliated clinicians

Practitioners 1

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1104224625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CHARLES ST STE 103",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465938",
            "telephone_number": "301-653-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CHARLES ST STE 103",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465938",
            "telephone_number": "301-653-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROF COUNSELOR",
        "authorized_official_telephone_number": "301-653-9587",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.