Organization Active NPI

Healing Connection Psychotherapy Incorporated

  • Clinical Social Worker
  • Mount Airy, MD
National Provider Identifier
1467055210
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING CONNECTION PSYCHOTHERAPY INCORPORATED
Practice address
603 E Ridgeville Blvd
Mount Airy, MD 21771-5249
Phone
(301) 703-2260
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Jessica Richard
Title
Owner / Practitioner
Phone
(301) 703-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

603 E Ridgeville Blvd
Mount Airy, MD 21771-5249

Mailing address

6288 Belmont Cir
Mount Airy, MD 21771-8037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1467055210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6288 BELMONT CIR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E RIDGEVILLE BLVD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715249",
            "telephone_number": "301-703-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CONNECTION PSYCHOTHERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER / PRACTITIONER",
        "authorized_official_telephone_number": "301-703-2260"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.