Active NPI
U Matter Diversified Counseling and Therapeutic Concepts, LLC
- Professional Counselor
- Largo, MD
National Provider Identifier
1467063305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.