Active NPI
Straight From the Heart Ministry Counseling Service, LLC
- Mental Health Counselor
- Laurel, MD
National Provider Identifier
1295442739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STRAIGHT FROM THE HEART MINISTRY COUNSELING SERVICE, LLC
- Practice address
- 3208 Water Lily CT
Laurel, MD 20724-2996 - Phone
- (301) 807-6415
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Donna Farley, LC9069
- Title
- LCPC
- Phone
- (301) 807-6415
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3208 Water Lily CT
Laurel, MD 20724-2996
Mailing address
3208 Water Lily CT
Laurel, MD 20724-2996
Phone (301) 807-6415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999575700 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Straight From the Heart Ministry Counseling Servic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Laurel, MD
- NPI 1114500204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Laurel, MD
- NPI 1164990628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1295442739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 WATER LILY CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242996",
"telephone_number": "301-807-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 WATER LILY CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207242996",
"telephone_number": "301-807-6415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAIGHT FROM THE HEART MINISTRY COUNSELING SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "LCPC",
"authorized_official_telephone_number": "301-807-6415",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LC9069"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999575700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.