Southern Maryland Mental Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTHERN MARYLAND MENTAL HEALTH, LLC

Practice address

3614 11TH St
Chesapeake Beach, MD 20732-3130

Phone

(240) 523-3497

NPI assigned

May 11, 2023

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Stackhouse, LPCNPI 1679155030

Title

Therapist, Owner

Phone

(443) 218-3359

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Stackhouse

  • Mental Health Counselor
  • Chesapeake Beach, MD
  • NPI 1679155030
  NPD Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1548950538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 11TH ST",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323130",
            "telephone_number": "717-873-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 11TH ST",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323130",
            "telephone_number": "240-523-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "STACKHOUSE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "443-218-3359",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Reumont
• Suzette Smriti Rozario, PHARMD
• Sand Dollar Consulting, LLC (Mark's Place Counseling)
• Charles Robert Sclater, MPT
• Christen D Sneed, LCPC
• Molly Stackhouse
• Victoria Ann Steele, LICSW
• Courtney Sutton
• Haley Taylor, CLD
• Cheryl Thompson, MS, CCC-SLP

• Mental Health Counselor in Chesapeake Beach, MD
• Providers in Chesapeake Beach, 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 23, 2024; 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.