Active NPI
Keesha Devonne Collins-Griffin, LCPC
- Professional Counselor
- Cheverly, MD
National Provider Identifier
1770765463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2624
- Practice address
- 6490 Landover Rd Ste D
Cheverly, MD 20785-1443 - Phone
- (301) 379-2934
- NPI assigned
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2624 | MD | Primary |
Addresses
Primary practice location
6490 Landover Rd Ste D
Cheverly, MD 20785-1443
Mailing address
1626 Golf Course Dr
Bowie, MD 20721-3162
Phone (301) 379-2934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2624 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Community Support Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1710750617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1770765463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 GOLF COURSE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207213162",
"telephone_number": "301-379-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 LANDOVER RD STE D",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851443",
"telephone_number": "301-379-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS-GRIFFIN",
"first_name": "KEESHA",
"middle_name": "DEVONNE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
- Citadel Behavioral Healthcare Consulting LLC
- Leeroy Mark Clarke, M.D.
- Azeh Estel Cobbi
- Elizabeth Adetutu Coker-Nnam, M.A, NCC, LCPC
- Hope B Coleman, PHARM.D
- Fatu Alpha Conteh, LCSW-C
- Crawford Consulting and Mental Health Services, Inc.
- Crawford Consulting and Mental Health Services, Inc.
- Demarest Crawl, DSW, LCSW-C, LICSW
- Jeffery Crayton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.