Active NPI
Keisha M Watson, MS, LCPC, NCC
- Professional Counselor
- Bethesda, MD
National Provider Identifier
1326301417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3899
- Practice address
- 6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847 - Phone
- (240) 255-3295
- Fax
- (240) 255-3297
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3899 | MD | Primary |
Addresses
Primary practice location
6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847
Mailing address
6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847
Phone (240) 255-3295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054678000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3899 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Journey Counseling, LLC. | Professional | Current | Accepting new patients |
Locations
6710A Rockledge Dr
Ste 400
Bethesda, MD 20817
Phone (240) 255-3295
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Bethesda, MD
- NPI 1932857661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1326301417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710A ROCKLEDGE DR STE 400",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172847",
"telephone_number": "240-255-3295",
"fax_number": "240-255-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710A ROCKLEDGE DR STE 400",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172847",
"telephone_number": "240-255-3295",
"fax_number": "240-255-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KEISHA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054678000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.