Organization Active NPI

Embracing Change Counseling & Mentoring Services, Inc.

  • Mental Health Counselor
  • Waldorf, MD
National Provider Identifier
1790292126
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14710 Issued in MD
Legal business name
EMBRACING CHANGE COUNSELING & MENTORING SERVICES, INC.
Practice address
3200 Crain Hwy Ste 205
Waldorf, MD 20603-4843
Phone
(240) 299-5985
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Tameka Price
Title
Owner
Phone
(240) 299-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 14710 MD Primary

Addresses

Primary practice location

3200 Crain Hwy Ste 205
Waldorf, MD 20603-4843

Mailing address

3200 Crain Hwy Ste 205
Waldorf, MD 20603-4843
Phone (240) 299-5985

Other identifiers 1

IdentifierTypeStateIssuer
819916MedicaidMD

National Provider Directory

National Provider Directory

Locations

3200 Crain Hwy
Ste 205
Waldorf, MD 20603
Phone (240) 435-4345

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": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1790292126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034843",
            "telephone_number": "240-299-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034843",
            "telephone_number": "240-299-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING CHANGE COUNSELING & MENTORING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-299-5985"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819916",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.