NPIMap

Organization Active NPI

New Reflections Therapeutic Services

  • Professional Counselor
  • Beltsville, MD
National Provider Identifier
1497134167
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3612 Issued in MD
Legal business name
NEW REFLECTIONS THERAPEUTIC SERVICES
Practice address
5020 Sunnyside Ave
Suite 112
Beltsville, MD 20705-2307
Phone
(240) 297-9143
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Miss Karimah Cornelius
Title
Owner/ Licensed Clinical Counselor
Phone
(240) 297-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC3612 MD Primary

Addresses

Primary practice location

5020 Sunnyside Ave
Suite 112
Beltsville, MD 20705-2307

Mailing address

PO Box 717
Beltsville, MD 20704-0717
Phone (240) 297-9143

Other identifiers 1

IdentifierTypeStateIssuer
1306194964MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
New Reflections Therapeutic Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5020 Sunnyside Ave
Ste 112
Beltsville, MD 20705
Phone (240) 297-9143

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": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1497134167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207040717",
            "telephone_number": "240-297-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE",
            "address_2": "SUITE 112",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "240-297-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW REFLECTIONS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "KARIMAH",
        "authorized_official_title_or_position": "OWNER/ LICENSED CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "240-297-9143",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306194964",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.