Carael Group, LLC
Organization Active NPI Professional Counselor · Derwood, MD
NPI 1194211995 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1194211995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC8789 (MD)
- Legal business name
- CARAEL GROUP, LLC
- Practice address
- 15732 Crabbs Branch Way FL 2
Derwood, MD 20855-2620 - Phone
- (240) 799-1520
- Fax
- (240) 556-0446
- NPI assigned
- Jul 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Latonia D Staten, LCPC
- Title
- Chief Therapist/Ceo
- Phone
- (240) 799-1520
Practitioners 1
-
Latonia Staten, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260115000170 | DC | Part B Supplier - Clinic/Group Practice | 6305322702 |
Receives reassigned benefits from 1 practitioner Practice locations: Derwood, MD |
National Provider Directory
Locations
199 E Montgomery Ave
Ste 100
Rockville, MD 20850
Phone (240) 676-9913
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Professional Counselor |
101YP2500X | LC8789 | MD | Yes |
Addresses
Primary practice location
15732 Crabbs Branch Way FL 2
Derwood, MD 20855-2620
Mailing address
13911 Highstream PL
Germantown, MD 20874-6161
Phone (240) 889-1251
Other providers in Derwood, MD
- Angela Bush
- Emily Buxton
- Shaneeka Cain
- Jamecia Campbell
- Delmis Campos
- Carolina Abigail Carbajal
- Erika Carreno Villagomez
- Janny Carrillo
- Takiyah Carroll
- Gabriela Casay
All providers in Derwood, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.