Organization Active NPI

Washington Area Clinical Center, LLC

Doing business as New Millennial Counseling & Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenbelt, MD
National Provider Identifier
1245774116
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WASHINGTON AREA CLINICAL CENTER, LLC
Practice address
7225 Hanover Pkwy Ste C
Greenbelt, MD 20770-2024
Phone
(240) 459-3074
NPI assigned
Dec 13, 2016
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Maya Danielle Foster, LCMFTNPI 1174989289
Title
Owner
Phone
(202) 630-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

7225 Hanover Pkwy Ste C
Greenbelt, MD 20770-2024

Mailing address

P.O. Box 654
Bowie, MD 20718
Phone (240) 459-3074

Other practice location 1

2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961
Phone (301) 701-6965

Other identifiers 1

IdentifierTypeStateIssuer
333971800MedicaidMD

Other names 1

  • New Millennial Counseling & Consulting, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Washington Area Clinical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2905 Mitchellville Rd
Ste 204
Bowie, MD 20716
Phone (301) 701-6965

9332 Annapolis Rd
Ste 210
Lanham, MD 20706

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1245774116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 654",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20718",
            "telephone_number": "240-459-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 HANOVER PKWY STE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702024",
            "telephone_number": "240-459-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 Mitchellville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163961",
            "country_code": "US",
            "telephone_number": "301-701-6965",
            "fax_number": "240-459-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASHINGTON AREA CLINICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-630-8311",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333971800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Millennial Counseling & Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Millennial Counseling & Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.