NPIMap

Organization Active NPI

DXT Therapeutic Services

  • Mental Health Counselor
  • Forestville, MD
National Provider Identifier
1689199952
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC7448 Issued in MD
Legal business name
DXT THERAPEUTIC SERVICES
Practice address
7610 Pennsylvania Ave Ste 301
Forestville, MD 20747-4701
Phone
(240) 284-6228
Fax
(240) 470-1223
NPI assigned
Aug 8, 2017
Last updated
Aug 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Michelle Hare, LCPC LPCNPI 1366979056
Title
Ceo
Phone
(240) 676-2895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC7448 MD Primary

Addresses

Primary practice location

7610 Pennsylvania Ave Ste 301
Forestville, MD 20747-4701

Mailing address

3314 Valley Forest Dr
Upper Marlboro, MD 20772-9400
Phone (240) 676-2895

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.

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": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1689199952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 VALLEY FOREST DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729400",
            "telephone_number": "240-676-2895"
        },
        {
            "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": "240-284-6228",
            "fax_number": "240-470-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DXT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-676-2895",
        "authorized_official_credential": "LCPC LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2017; 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.