Active NPI
Dynamic Counseling Group LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waldorf, MD
National Provider Identifier
1114822939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.