Individual provider Active NPI

Tamia Andrea Pleasants, LCPC, NCC

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1417181728
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6312 Issued in MD
Practice address
4329 Northview Dr
Bowie, MD 20716-2601
Phone
(301) 684-4606
Fax
(240) 331-0545
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009555 VA
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Professional Counselor 101YP2500X PRC13959 DC
Professional Counselor 101YP2500X LC6312 MD Primary

Addresses

Primary practice location

4329 Northview Dr
Bowie, MD 20716-2601

Mailing address

15020 Newcomb LN
Bowie, MD 20716-1027
Phone (301) 684-4606

Other practice location 1

15020 Newcomb Ln
Bowie, MD 20716-1027
Phone (301) 684-4606

Other identifiers 1

IdentifierTypeStateIssuer
1039814 00MedicaidMD

Other names 1

  • Ms. Tamia Andrea Henry Former name

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

State licenses

LicenseStateTypeSpecialty
PRC13959DCMDProfessional Counselor
LC6312MDMDProfessional Counselor
0701009555VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nylu Therapeutic Solutions, LLC Professional CurrentSince Nov 15, 2020 Accepting new patients
Healing on Tap, LLC Professional CurrentSince Mar 12, 2024 Accepting new patients

Locations

4329 Northview Dr
Bowie, MD 20716
Phone (240) 422-4768

801 Wayne Ave
Ste 204
Silver Spring, MD 20910
Phone (301) 804-3055

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1417181728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 NEWCOMB LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161027",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162601",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15020 Newcomb Ln",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161027",
            "country_code": "US",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEASANTS",
        "first_name": "TAMIA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009555",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13959",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039814 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIA",
            "last_name": "HENRY",
            "middle_name": "ANDREA",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 8, 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.

Verify at the official NPI Registry.