Individual provider Active NPI

Aleiscia Sargeant

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1104300813
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11174 Issued in MD
Practice address
9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone
(202) 306-4398
NPI assigned
Sep 18, 2018
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LG8530 MD
Mental Health Counselor 101YM0800X LC11174 MD Primary

Addresses

Primary practice location

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785

Mailing address

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone (202) 306-4398

Other practice location 1

9500 Annapolis Rd Ste A8
Lanham, MD 20706-2060
Phone (301) 710-9400 ext. 108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC11174MDMDMental Health Counselor
LG8530MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Peace Therapy Group, L.L.C. Mental Health Current Accepting new patients

Locations

9701 Apollo Dr
Ste 100
Uppr Marlboro, MD 20774
Phone (240) 487-6934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1104300813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "202-306-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "202-306-4398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Annapolis Rd Ste A8",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062060",
            "country_code": "US",
            "telephone_number": "301-710-9400 x108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGEANT",
        "first_name": "ALEISCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LG8530",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.