Discover Yourself Wellness Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DISCOVER YOURSELF WELLNESS CENTER, LLC

Practice address

10705 Charter Dr Ste 130
Columbia, MD 21044-2893

Phone

(832) 573-1473

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Shanna Evering, LCPCNPI 1427401199

Title

Owner

Phone

(832) 573-1473

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Shanna Evering, LCPC

  • Professional Counselor
  • Columbia, MD
  • NPI 1427401199
  NPD Authorized official
• Sharnise Nicole Hendrick, LCPC

  • Professional Counselor
  • Columbia, MD
  • NPI 1407335938
  NPD (past)
• Jennifer Sussal, LGSW

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1871091124
  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1720507940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442893",
            "telephone_number": "832-573-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER YOURSELF WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "EVERING",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-573-1473",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyana Dingle
• Bethany Anne Dipaula, PHARM.D.
• Yvonne Dipeso, RN
• Catherine A Disanti, AU.D.
• Katherine Ann Discavage, OTR/L
• Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Columbia)
• Discovery Practice Management, Inc. (Center For Discovery, Columbia)
• Anthony James Disilvestro
• Elizabeth Renee Disney, PH.D.
• Dispatchhealth-Arizona

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.