Active NPI
New Chapter Counseling: Adult and Senior Mental Health Service, LLC
- Social Worker
- North Potomac, MD
National Provider Identifier
1669109807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- NEW CHAPTER COUNSELING: ADULT AND SENIOR MENTAL HEALTH SERVICE, LLC
- Practice address
- 13809 Grey Colt Dr
North Potomac, MD 20878-3865 - Phone
- (512) 569-9030
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Mednick, LCSW-C
- Title
- Owner
- Phone
- (512) 569-9030
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
13809 Grey Colt Dr
North Potomac, MD 20878-3865
Mailing address
13809 Grey Colt Dr
North Potomac, MD 20878-3865
Phone (512) 569-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1669109807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13809 GREY COLT DR",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208783865",
"telephone_number": "512-569-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13809 GREY COLT DR",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208783865",
"telephone_number": "512-569-9030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CHAPTER COUNSELING: ADULT AND SENIOR MENTAL HEALTH SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "MEDNICK",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-569-9030",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.