Organization Active NPI

U Matter Diversified Counseling and Therapeutic Concepts, LLC

  • Professional Counselor
  • Largo, MD
National Provider Identifier
1467063305
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
U MATTER DIVERSIFIED COUNSELING AND THERAPEUTIC CONCEPTS, LLC
Practice address
1300 Mercantile LN # 129-42
Largo, MD 20774-5327
Phone
(240) 574-4377
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Authorized official

Name
Miss Melissa Stephenson, MHS-C, LCPC, LPCNPI 1700337094
Title
Ceo/Mental Health Therapist
Phone
(240) 507-4390

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1300 Mercantile LN # 129-42
Largo, MD 20774-5327

Mailing address

14363 Longhouse Loop
Brandywine, MD 20613-2065
Phone (240) 507-4390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813002042 DC Part B Supplier - Clinic/Group Practice 6103364815 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, MD

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
#12942
Upper Marlboro, MD 20774
Phone (240) 507-4390

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": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1467063305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14363 LONGHOUSE LOOP",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206132065",
            "telephone_number": "240-507-4390",
            "fax_number": "240-245-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN # 129-42",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "240-574-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U MATTER DIVERSIFIED COUNSELING AND THERAPEUTIC CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "240-507-4390",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MHS-C, LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.