Organization Active NPI

Straight From the Heart Ministry Counseling Service, LLC

  • Adult Mental Health Clinic/Center
  • Laurel, MD
National Provider Identifier
1114500204
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
STRAIGHT FROM THE HEART MINISTRY COUNSELING SERVICE, LLC
Practice address
3208 Water Lily CT
Laurel, MD 20724-2996
Phone
(301) 807-6415
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Donna Farley, LCPCNPI 1164990628
Title
Therapist
Phone
(301) 807-6415

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3208 Water Lily CT
Laurel, MD 20724-2996

Mailing address

3208 Water Lily CT
Laurel, MD 20724-2996
Phone (301) 807-6415

Other identifiers 1

IdentifierTypeStateIssuer
193680800MedicaidMD

Other names 2

  • Straight from the Heart Ministry Counseling Servic Former legal business name
  • Straight from the Heart Ministry Counseling Service, LLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL sfthcounselingservices@gmail.com Direct
CONNECT URL Laurel

National Provider Directory

National Provider Directory
Tax ID family
Straight From the Heart Ministry Counseling Servic2 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.

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": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1114500204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 WATER LILY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242996",
            "telephone_number": "301-807-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WATER LILY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242996",
            "telephone_number": "301-807-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT FROM THE HEART MINISTRY COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-807-6415",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193680800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sfthcounselingservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laurel",
            "address_1": "3208 Water Lily Ct",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207242996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laurel",
            "affiliation": "N",
            "endpointDescription": "sfthcounselingservices@aol.com",
            "address_1": "3208 Water Lily Ct",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207242996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Straight from the Heart Ministry Counseling Servic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Straight from the Heart Ministry Counseling Service, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.