Organization Active NPI

Connect to Care Counseling Services, LLC

  • Professional Counselor
  • Oxon Hill, MD
National Provider Identifier
1356957864
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONNECT TO CARE COUNSELING SERVICES, LLC
Practice address
120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122
Phone
(703) 857-5354
Fax
(571) 601-4607
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Mrs. Deitra Latrice Fant, MA,NCC,LCPC,LPCNPI 1699131896
Title
Owner/Clinician
Phone
(703) 857-5354

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122

Mailing address

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122
Phone (703) 857-5354

Other identifiers 1

IdentifierTypeStateIssuer
207319600MedicaidMD

National Provider Directory

National Provider Directory

Locations

120 Waterfront St
Ste 420
Oxon Hill, MD 20745
Phone (240) 647-8262

9701 Apollo Dr
Ste 370
Upper Marlboro, MD 20774
Phone (240) 487-6934

118 N Saint Asaph St
Ste G
Alexandria, VA 22314
Phone (703) 857-5354

Practitioners & affiliated clinicians

Practitioners 1

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1356957864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATERFRONT ST STE 420",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451122",
            "telephone_number": "703-857-5354",
            "fax_number": "571-601-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATERFRONT ST STE 420",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451122",
            "telephone_number": "703-857-5354",
            "fax_number": "571-601-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT TO CARE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "DEITRA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "703-857-5354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,NCC,LCPC,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207319600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.