Organization Active NPI

Nylu Therapeutic Solutions, LLC

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1255848800
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NYLU THERAPEUTIC SOLUTIONS, LLC
Practice address
4329 Northview Dr
Bowie, MD 20716-2601
Phone
(301) 684-4606
Fax
(240) 331-0545
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Tamia Pleasants, LCPC, NCCNPI 1417181728
Title
Owner/Lead Therapist
Phone
(301) 684-4606

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4329 Northview Dr
Bowie, MD 20716-2601

Mailing address

15020 Newcomb LN
Bowie, MD 20716-1027
Phone (301) 684-4606

Other identifiers 2

IdentifierTypeStateIssuer
1039814P0000MedicaidMD
008012800MedicaidMD

National Provider Directory

National Provider Directory

Locations

801 Wayne Ave
Ste 204
Silver Spring, MD 20910
Phone (301) 804-3055

Practitioners & affiliated clinicians

Practitioners 10

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": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1255848800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 NEWCOMB LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161027",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162601",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYLU THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PLEASANTS",
        "authorized_official_first_name": "TAMIA",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "301-684-4606",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039814P0000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008012800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.