Organization Active NPI

New Beginnings Psychotherapy LLC

  • Mental Health Counselor
  • Germantown, MD
National Provider Identifier
1730745373
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW BEGINNINGS PSYCHOTHERAPY LLC
Practice address
13240 Executive Park Terrace
Germantown, MD 20874-2087
Phone
(240) 616-4568
Fax
(240) 404-6962
NPI assigned
May 17, 2019
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Andrea Mendez, LCSW-C
Title
Founder and Ceo
Phone
(609) 533-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

13240 Executive Park Terrace
Germantown, MD 20874-2087

Mailing address

18331 Lost Knife Cir
Apt 204
Montgomery Village, MD 20886
Phone (609) 533-5872

Other identifiers 1

IdentifierTypeStateIssuer
678005900MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amendez@newbeginningspsych.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1730745373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18331 LOST KNIFE CIR",
            "address_2": "APT 204",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "20886",
            "telephone_number": "609-533-5872",
            "fax_number": "240-404-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 EXECUTIVE PARK TERRACE",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742087",
            "telephone_number": "240-616-4568",
            "fax_number": "240-404-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "609-533-5872",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678005900",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amendez@newbeginningspsych.org",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13240 Executive Park Terrace",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208742087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.