NPIMap

Organization Active NPI

Starlight Child and Family Counseling, LLC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1245771567
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15140 Issued in MD
Legal business name
STARLIGHT CHILD AND FAMILY COUNSELING, LLC
Practice address
501 N Frederick Ave
Suite 300
Gaithersburg, MD 20877-2507
Phone
(301) 624-9838
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Julia Churchill, LCSW-C, RPT
Title
Child Therapist
Phone
(301) 624-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 15140 MD Primary

Addresses

Primary practice location

501 N Frederick Ave
Suite 300
Gaithersburg, MD 20877-2507

Mailing address

501 N. Frederick Ave.
Ste. 300
Gaithersburg, MD 20877
Phone (301) 624-9838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1245771567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N. FREDERICK AVE.",
            "address_2": "STE. 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-624-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "address_2": "SUITE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-624-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT CHILD AND FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CHILD THERAPIST",
        "authorized_official_telephone_number": "301-624-9838",
        "authorized_official_credential": "LCSW-C, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.