Donna Mitchell, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8808 Issued in MD

Practice address

12510 Prosperity Dr Ste 180
Silver Spring, MD 20904-1695

Phone

(301) 650-5940

Fax

(240) 465-0070

NPI assigned

Apr 18, 2019

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellspring Restorative Therapy Services

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1518446004

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1124681861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 180",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041695",
            "telephone_number": "301-650-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 180",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041695",
            "telephone_number": "301-650-5940",
            "fax_number": "240-465-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DONNA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LC8808",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnam@wellspringrts.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "donnam@wellspringrts.com",
            "address_1": "11821 Parklawn Dr Ste 105",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208522539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaynah Mistry, PA-C
• Priyank Mistry, PT, DPT, MS
• Rupal Mistry, LCPC
• Marilyn Luanna Mitchell-Chapman, DDS
• Brenda Ellis Mitchell, MD
• John Stephen Mitchell
• Kara Mitchell
• Kimberly Mitchell, PHARMD
• Nicole Amanda Mitchell, CRNP
• Nina Mitchell, LCPC

• Professional Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.