Redeemed Innocence LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REDEEMED INNOCENCE LLC

Practice address

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Phone

(301) 412-4343

NPI assigned

Apr 27, 2020

Last updated

Jul 20, 2020By 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

Brooke Janet Beander, MSW, LICSW, LCSW-CNPI 1689295040

Title

Owner

Phone

(301) 412-4343

Specialties & licenses 1

Addresses

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.

• Brooke Janet Beander, MSW, LICSW, LCSW-C

  • Clinical Social Worker
  • Largo, MD
  • NPI 1689295040

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1669093027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE # 673",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "301-412-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-412-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMED INNOCENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BEANDER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-412-4343",
        "authorized_official_credential": "MSW, LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Randle, LCSW-C
• Shashi H Ranganath, MD
• Ramya Sree Ravolkol
• Sasha Ray, MD
• Keisha L Redd, PHARM.D.
• Rediclinic of MD, LLC
• Marja Lindsey Reed, LCSW-C, LICSW, LCSW
• Mark Anthony Reed, MD
• Sierra Reed
• Ernell Refuge, PMHNP

• Mental Health Counselor in Largo, MD
• Providers in Largo, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.