NPIMap

Organization Active NPI

Dawn of a New Day Pastoral Counseling and Mentoring Services

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1417202136
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3005 Issued in MD
Legal business name
DAWN OF A NEW DAY PASTORAL COUNSELING AND MENTORING SERVICES
Practice address
9672 Marlboro Pike
Unit J
Upper Marlboro, MD 20772-3670
Phone
(877) 214-3668
Fax
(877) 599-2585
NPI assigned
Jul 18, 2012
Organization subpart
Yes
Parent organization
DAWN OF A NEW DAY PASTORAL COUNSELING AND MENTORING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Dr. Jesse L Griffin, PH.D., LCPC
Title
Owner/Director
Phone
(877) 214-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC3005 MD Primary

Addresses

Primary practice location

9672 Marlboro Pike
Unit J
Upper Marlboro, MD 20772-3670

Mailing address

6368 Coventry Way
#386
Clinton, MD 20735-2256
Phone (877) 214-3668

Other identifiers 1

IdentifierTypeStateIssuer
04006610MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Dawn of a New Day Pastoral Counseling and Mentoring Services2 organizations share this tax ID, including this one
Part of
Dawn of a New Day Pastoral Counseling and Mentoring Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9672 Marlboro Pike
Unit J
Upper Marlboro, MD 20772
Phone (877) 214-3668

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1417202136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 COVENTRY WAY",
            "address_2": "#386",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352256",
            "telephone_number": "877-214-3668",
            "fax_number": "877-599-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9672 MARLBORO PIKE",
            "address_2": "UNIT J",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "877-214-3668",
            "fax_number": "877-599-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN OF A NEW DAY PASTORAL COUNSELING AND MENTORING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAWN OF A NEW DAY PASTORAL COUNSELING AND MENTORING SERVICES",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "877-214-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006610",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.