NPIMap

Organization Active NPI

La Plata Pediatrics & Family Health, LLC

  • Mental Health Counselor
  • La Plata, MD
National Provider Identifier
1619757713
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Practice address
103 Centennial St Ste C
La Plata, MD 20646-5985
Phone
(301) 934-9111
NPI assigned
Oct 5, 2023
Organization subpart
Yes
Parent organization
LA PLATA PEDIATRICS & FAMILY HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Jamie Lee ReidyNPI 1508185505
Title
Owner
Phone
(301) 643-8127

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

103 Centennial St Ste C
La Plata, MD 20646-5985

Mailing address

103 Centennial St Ste C
La Plata, MD 20646-5985
Phone (301) 934-9111

National Provider Directory

National Provider Directory
Part of
La Plata Pediatrics Family Health LLC

Locations

103 Centennial St
Ste C
La Plata, MD 20646
Phone (301) 934-9111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1619757713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PLATA PEDIATRICS & FAMILY HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA PLATA PEDIATRICS & FAMILY HEALTH, LLC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-643-8127"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.