Organization Active NPI

Inner Light Consulting and Therapeutic Services

  • Professional Counselor
  • Greenbelt, MD
National Provider Identifier
1710277629
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3831 Issued in MD
Legal business name
INNER LIGHT CONSULTING AND THERAPEUTIC SERVICES
Practice address
7525 Greenway Center Dr
Greenbelt, MD 20770-3509
Phone
(202) 321-9367
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Simone Blanchard, LCPC, NCC, MA
Title
Professional Counselor
Phone
(202) 321-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC3831 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr
Greenbelt, MD 20770-3509

Mailing address

13132 Grandview CT
Upper Marlboro, MD 20772-5224
Phone (202) 321-9367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1710277629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 GRANDVIEW CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725224",
            "telephone_number": "202-321-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "202-321-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT CONSULTING AND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "202-321-9367",
        "authorized_official_credential": "LCPC, NCC, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.