NPIMap

Organization Active NPI

Legacy Counseling Services, LLC

  • Mental Health Counselor
  • Lanham, MD
National Provider Identifier
1174142715
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEGACY COUNSELING SERVICES, LLC
Practice address
4500 Forbes Blvd Ste 200
Lanham, MD 20706-6316
Phone
(301) 265-6150
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Amina Aleem Hall, LCSWNPI 1205056819
Title
Director/Psychotherapist
Phone
(301) 265-6150

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4500 Forbes Blvd Ste 200
Lanham, MD 20706-6316

Mailing address

11203 Champlain Cir
Bowie, MD 20720-3490
Phone (301) 538-6103

National Provider Directory

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": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1174142715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 CHAMPLAIN CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203490",
            "telephone_number": "301-538-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066316",
            "telephone_number": "301-265-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "ALEEM",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-265-6150",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.