Active NPI
Faith and Healing Counseling LLC
- Mental Health Counselor
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAITH AND HEALING COUNSELING LLC
- Practice address
- 6716 Flying Squirrel CT
Waldorf, MD 20603 - Phone
- (240) 356-1001
- NPI assigned
- May 5, 2021
- Last updated
- Oct 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keesha Vines, MA, LCPC, NCC
- Title
- Owner/Therapist
- Phone
- (240) 356-1001
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
6716 Flying Squirrel CT
Waldorf, MD 20603
Mailing address
173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (240) 356-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 873320100 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Faith and Healing Counseling LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Waldorf, MD
- NPI 1548840440
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Counselor
- Charlotte Hall, MD
- NPI 1992150841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1467035584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 SAINT PATRICKS DR STE 104",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035530",
"telephone_number": "240-356-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6716 FLYING SQUIRREL CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "20603",
"telephone_number": "240-356-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH AND HEALING COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "VINES",
"authorized_official_first_name": "KEESHA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "240-356-1001",
"authorized_official_credential": "MA, LCPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "873320100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.