NPIMap

Organization Active NPI

Washington Area Clinical Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowie, MD
National Provider Identifier
1609485010
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WASHINGTON AREA CLINICAL CENTER, LLC
Practice address
2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961
Phone
(301) 701-6965
NPI assigned
Jul 31, 2020
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
New Millennial Counseling Consulting LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2905 Mitchellville Rd
Ste 204
Bowie, MD 20716
Phone (301) 701-6965

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Maya Danielle Foster
Title
Ceo
Phone
(301) 701-6965

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961

Mailing address

PO Box 654
Bowie, MD 20718-0654

Other names 1

  • New Millennial Counseling & Consulting, LLC Former legal business name

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1609485010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD STE 204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163961",
            "telephone_number": "301-701-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON AREA CLINICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-701-6965"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Millennial Counseling & Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.