Faith and Healing Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAITH AND HEALING COUNSELING LLC

Practice address

6716 Flying Squirrel CT
Waldorf, MD 20603-4332

Phone

(240) 356-1001

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Keesha Vines, LCPCNPI 1992150841

Title

Owner

Phone

(240) 356-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Faith and Healing Counseling LLC2 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.

• Faith and Healing Counseling LLC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1467035584
  NPD tax ID

Practitioners 1

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

• Keesha Vines, L.G.P.C.

  • Counselor
  • Charlotte Hall, MD
  • NPI 1992150841
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1548840440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 SMALLWOOD DR W",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034732",
            "telephone_number": "240-356-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 FLYING SQUIRREL CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034332",
            "telephone_number": "240-356-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AND HEALING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "KEESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-356-1001",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873320100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F&M Behavioral Healthcare Services (F&M Renounce Healthcare Services)
• Jerrilyn Everlisa Jana Fabien
• Fabulous Weave , LLC
• Eleanor Court Faherty, M.D.
• Faith and Healing Counseling LLC
• Family Meds Inc
• Casandra Farrell
• Darakshan Fatmi, DDS
• Ariella Faucette
• Craig Faucette Sr.

• Mental Health Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.