Active NPI
Lasting Purpose Foundation Inc
- Voluntary or Charitable Agency
- Beltsville, MD
National Provider Identifier
1356167597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- LASTING PURPOSE FOUNDATION INC
- Practice address
- 4061 Powder Mill Rd Ste 107
Beltsville, MD 20705-3156 - Phone
- (240) 642-8392
- NPI assigned
- Dec 3, 2024
- 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
- Dr. Takura A Tela, DC
- Title
- Provider
- Phone
- (240) 642-8392
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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Preferred Provider Organization | 305R00000X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4061 Powder Mill Rd Ste 107
Beltsville, MD 20705-3156
Mailing address
4061 Powder Mill Rd Ste 107
Beltsville, MD 20705-3156
Phone (240) 642-8392
Other names 1
- Lasting Purpose Wellness Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1356167597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 POWDER MILL RD STE 107",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053156",
"telephone_number": "240-642-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 POWDER MILL RD STE 107",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053156",
"telephone_number": "240-642-8392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASTING PURPOSE FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "TELA",
"authorized_official_first_name": "TAKURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "240-642-8392",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lasting Purpose Wellness Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.