Organization Active NPI

Dynamic Counseling Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1114822939
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DYNAMIC COUNSELING GROUP LLC
Practice address
3200 Crain Hwy Ste 302
Waldorf, MD 20603-4843
Phone
(301) 494-4020
Fax
(301) 263-7894
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Lacole Annetta Cole
Title
Ceo
Phone
(301) 494-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3200 Crain Hwy Ste 302
Waldorf, MD 20603-4843

Mailing address

3375 Malcolm Rd
Brandywine, MD 20613-4029
Phone (240) 346-1974

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1114822939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MALCOLM RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206134029",
            "telephone_number": "240-346-1974",
            "fax_number": "301-263-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034843",
            "telephone_number": "301-494-4020",
            "fax_number": "301-263-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LACOLE",
        "authorized_official_middle_name": "ANNETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-494-4020"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.