Amani Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMANI COUNSELING LLC

Doing business as

Amani Counseling LLC
Gray Space Therapy

Practice address

11432 Rowley Rd
Clarksville, MD 21029-1816

Phone

(804) 497-6430

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By 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

Shabana Abdullah, LCSW-CNPI 1538937446

Title

Owner

Phone

(804) 497-6430

Specialties & licenses 1

Addresses

Other names 2

• Amani Counseling LLC Doing business as
• Gray Space Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• Shabana Abdullah, LCSW-C

  • Clinical Social Worker
  • Clarksville, MD
  • NPI 1538937446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1619773967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11432 ROWLEY RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291816",
            "telephone_number": "804-497-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11432 ROWLEY RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291816",
            "telephone_number": "804-497-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-497-6430",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amani Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gray Space Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.