NPIMap

Organization Active NPI

Kid'S Theraplay, Inc

  • Mental Health Counselor
  • Cumberland, MD
National Provider Identifier
1508159773
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7949 Issued in FL
Legal business name
KID'S THERAPLAY, INC
Practice address
725 Park Street
Suite 281
Cumberland, MD 21502
Phone
(301) 202-7012
Fax
(321) 452-2802
NPI assigned
May 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Mrs. Tammy Star, LMHC/LPCNPI 1265506190
Title
Owner/Therapist
Phone
(301) 202-7012

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH7949 FL Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC2309 WV
Early Intervention Provider Agency 252Y00000X MH7949 FL

Addresses

Primary practice location

725 Park Street
Suite 281
Cumberland, MD 21502

Mailing address

725 Park Street
Suite 281
Cumberland, MD 21502
Phone (301) 202-7012

Other identifiers 1

IdentifierTypeStateIssuer
811814100MedicaidFL

National Provider Directory

National Provider Directory

Locations

120 Harrison St
Ste 1
Cocoa, FL 32922

725 Park St
Ste 281
Cumberland, MD 21502
Phone (301) 202-7012

Practitioners & affiliated clinicians

Practitioners 3

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": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1508159773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PARK STREET",
            "address_2": "SUITE 281",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-202-7012",
            "fax_number": "321-452-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PARK STREET",
            "address_2": "SUITE 281",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-202-7012",
            "fax_number": "321-452-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S THERAPLAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "STAR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "301-202-7012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC/LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7949",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "LPC2309",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "MH7949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811814100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.