Organization Active NPI

Services Enriching Life'S Future -Self Counseling LLC.

  • Community/Behavioral Health Agency
  • Aberdeen, MD
National Provider Identifier
1417563453
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERVICES ENRICHING LIFE'S FUTURE -SELF COUNSELING LLC.
Practice address
413 W Bel Air Ave Ste 103
Aberdeen, MD 21001-2424
Phone
(443) 756-3101
Fax
(443) 345-4483
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Nikita Cox Laws, EDDNPI 1841443785
Title
Owner
Phone
(443) 756-3101

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

413 W Bel Air Ave Ste 103
Aberdeen, MD 21001-2424

Mailing address

935 Chardrie Dr
York, PA 17402-7655
Phone (443) 756-3101

Other practice location 1

3701 Old Court Rd Ste 19B
Pikesville, MD 21208-3901
Phone (443) 756-3101

Other identifiers 1

IdentifierTypeStateIssuer
019683500MedicaidMD

Other names 1

  • SELF COUNSELING LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091002000201 MD Part B Supplier - Clinic/Group Practice 9638215700 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, MD

National Provider Directory

National Provider Directory

Locations

413 W Bel Air Ave
Ste 103
Aberdeen, MD 21001
Phone (443) 756-3101

11 N Parke St
Aberdeen, MD 21001
Phone (410) 272-0665

3701 Old Court Rd
Ste 19B
Pikesville, MD 21208
Phone (443) 756-3101

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": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1417563453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CHARDRIE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027655",
            "telephone_number": "443-756-3101",
            "fax_number": "443-345-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W BEL AIR AVE STE 103",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012424",
            "telephone_number": "443-756-3101",
            "fax_number": "443-345-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Old Court Rd Ste 19B",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212083901",
            "country_code": "US",
            "telephone_number": "443-756-3101",
            "fax_number": "443-345-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERVICES ENRICHING LIFE'S FUTURE -SELF COUNSELING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-756-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019683500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELF COUNSELING LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.