NPIMap

Organization Active NPI

Metropolitan Psychotherapy and Health Coaching, LLC

  • Clinical Social Worker
  • Camp Springs, MD
National Provider Identifier
1255481644
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05193 Issued in MD
Legal business name
METROPOLITAN PSYCHOTHERAPY AND HEALTH COACHING, LLC
Practice address
5625 Allentown Rd
Suite 102
Camp Springs, MD 20746-4521
Phone
(301) 899-2497
Fax
(301) 899-2499
NPI assigned
Jan 10, 2007
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ena May Watson, PH. D., LCSW-CNPI 1225216401
Title
Owner/Manager
Phone
(301) 899-2497

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 05193 MD Primary

Addresses

Primary practice location

5625 Allentown Rd
Suite 102
Camp Springs, MD 20746-4521

Mailing address

5625 Allentown Rd
Suite 102
Camp Springs, MD 20746-4521
Phone (301) 899-2497

Other identifiers 1

IdentifierTypeStateIssuer
696761200MedicaidMD

National Provider Directory

National Provider Directory

Locations

5625 Allentown Rd
Ste 102
Camp Springs, MD 20746
Phone (301) 899-2497

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1255481644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD",
            "address_2": "SUITE 102",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-899-2497",
            "fax_number": "301-899-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD",
            "address_2": "SUITE 102",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-899-2497",
            "fax_number": "301-899-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PSYCHOTHERAPY AND HEALTH COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ENA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "301-899-2497",
        "authorized_official_credential": "PH. D., LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696761200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.