NPIMap

Organization Active NPI

Second Chance Addiction Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
National Provider Identifier
1629890835
Registry record updated Oct 29, 2024
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
SECOND CHANCE ADDICTION CARE
Practice address
401 E Jefferson St Ste 203
Rockville, MD 20850-2617
Phone
(301) 983-5130
NPI assigned
Oct 29, 2024
Organization subpart
Yes
Parent organization
SECOND CHANCE ADDICTION CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Heather Asbury
Title
Executive Director
Phone
(301) 453-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

401 E Jefferson St Ste 203
Rockville, MD 20850-2617

Mailing address

401 E Jefferson St Ste 203
Rockville, MD 20850-2617
Phone (301) 983-5130

National Provider Directory

National Provider Directory
Tax ID family
Second Chance Addiction Care4 organizations share this tax ID, including this one
Part of
Second Chance Addiction Care

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1629890835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-983-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-983-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE ADDICTION CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND CHANCE ADDICTION CARE",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "ASBURY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-453-2454"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.