NPIMap

Introspection Counseling Center LLC

Organization Active NPI Community/Behavioral Health Agency · Silver Spring, MD

NPI 1487325866 · NPPES record last updated Oct 6, 2025

Key facts

NPI
1487325866
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
INTROSPECTION COUNSELING CENTER LLC
Practice address
10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439
Phone
(302) 213-6158
Fax
(855) 530-2764
NPI assigned
Sep 24, 2021
Organization subpart
No

Authorized official

Name
Dierdra Oretade-Branch, DSW, LCSW, BCD NPI 1376980235
Title
Owner
Phone
(302) 213-6158

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC, DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211127000009 NC Part B Supplier - Clinic/Group Practice 9436549813 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC
O20211215000153 DE Part B Supplier - Clinic/Group Practice 9436549813 Receives reassigned benefits from 3 practitioners
Practice locations: Dover, DE; Wilmington, DE

National Provider Directory

Locations

2300 Pennsylvania Ave
Unit Llc
Wilmington, DE 19806
Phone (302) 213-6158

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YM0800X
Counseling Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC1900X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Community/Behavioral Health Agency 251S00000X Yes
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LP0808X

Addresses

Primary practice location

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439

Mailing address

2300 Pennsylvania Ave Unit LLC
Wilmington, DE 19806-1392
Phone (302) 213-6158

Other practice location 1

101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054
Phone (302) 213-6158

Other practice location 2

8 The Grn Ste 12921
Dover, DE 19901-3618
Phone (302) 213-6158

Other practice location 3

4030 Wake Forest Rd Ste 300
Raleigh, NC 27609-6800
Phone (919) 289-3421

Other practice location 4

2300 Pennsylvania Ave Unit Llc
Wilmington, DE 19806-1392
Phone (302) 213-6158

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2025.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1487325866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE UNIT LLC",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061392",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014439",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Eisenhower Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Roseland",
            "state": "NJ",
            "postal_code": "070681054",
            "country_code": "US",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 The Grn Ste 12921",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013618",
            "country_code": "US",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4030 Wake Forest Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096800",
            "country_code": "US",
            "telephone_number": "919-289-3421",
            "fax_number": "855-530-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Pennsylvania Ave Unit Llc",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198061392",
            "country_code": "US",
            "telephone_number": "302-213-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTROSPECTION COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "ORETADE-BRANCH",
        "authorized_official_first_name": "DIERDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-213-6158",
        "authorized_official_credential": "DSW, LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Community/Behavioral Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.