NPIMap

Organization Active NPI

DXT Therapeutic Services

  • Community/Behavioral Health Agency
  • Forestville, MD
National Provider Identifier
1659919983
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DXT THERAPEUTIC SERVICES
Practice address
7610 Pennsylvania Ave Ste 301
Forestville, MD 20747-4701
Phone
(240) 676-2895
NPI assigned
Dec 17, 2019
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Michelle Hare-Diggs
Title
Ceo
Phone
(240) 676-2895

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7610 Pennsylvania Ave Ste 301
Forestville, MD 20747-4701

Mailing address

7610 Pennsylvania Ave Ste 301
Forestville, MD 20747-4701

Other practice location 1

5701 Mableton Pkwy SW Ste 201
Mableton, GA 30126-3364
Phone (470) 869-2175

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Forestville Direct

National Provider Directory

National Provider Directory
Tax ID family
DXT Therapeutic Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5701 Mableton Pkwy SW
Ste 201
Mableton, GA 30126
Phone (470) 869-2175

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1659919983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE STE 301",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE STE 301",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474701",
            "telephone_number": "240-676-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Mableton Pkwy SW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mableton",
            "state": "GA",
            "postal_code": "301263364",
            "country_code": "US",
            "telephone_number": "470-869-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DXT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "HARE-DIGGS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-676-2895"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Forestville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Forestville",
            "address_1": "7610 Pennsylvania Ave Ste 301",
            "city": "Forestville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207474701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.