Organization Active NPI

Grounded Place Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumberland, MD
National Provider Identifier
1770419624
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GROUNDED PLACE THERAPY, LLC
Practice address
339 Fisher Dr
Cumberland, MD 21502-6372
Phone
(240) 413-8696
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Renee Monique Davis, LPC, LCPC, PSYDNPI 1043908759
Title
Owner
Phone
(240) 413-8696

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

339 Fisher Dr
Cumberland, MD 21502-6372

Mailing address

1230 National Hwy # 1001
Lavale, MD 21502-7612
Phone (240) 413-8696

Other practice location 1

1230 National Hwy # 1001
Lavale, MD 21502-7612
Phone (240) 413-8696

National Provider Directory

National Provider Directory

Locations

1230 National Hwy
#1001
Lavale, MD 21502

Practitioners & 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": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1770419624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 NATIONAL HWY # 1001",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027612",
            "telephone_number": "240-413-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FISHER DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026372",
            "telephone_number": "240-413-8696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 National Hwy # 1001",
            "address_purpose": "LOCATION",
            "city": "Lavale",
            "state": "MD",
            "postal_code": "215027612",
            "country_code": "US",
            "telephone_number": "240-413-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUNDED PLACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-413-8696",
        "authorized_official_credential": "LPC, LCPC, PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.