NPIMap

Organization Active NPI

Insight Behavioral Services, LLC

  • Counselor
  • Bowie, MD
National Provider Identifier
1386213114
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
INSIGHT BEHAVIORAL SERVICES, LLC
Practice address
3605 Enterprise Rd
Bowie, MD 20721-2563
Phone
(301) 379-2792
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Bonita Smith, LCPCNPI 1619527926
Title
Owner
Phone
(301) 379-2792

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3605 Enterprise Rd
Bowie, MD 20721-2563

Mailing address

12138 Central Ave Ste 163
Bowie, MD 20721-1910
Phone (240) 639-5240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1386213114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE STE 163",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "240-639-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ENTERPRISE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212563",
            "telephone_number": "301-379-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-379-2792",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 24, 2021; 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.