Organization Active NPI

Enlighten Therapeutic & Consulting Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1811530629
Registry record updated Nov 10, 2025
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
ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC
Practice address
2 Post Office Rd Ste 1B
Waldorf, MD 20602-2726
Phone
(301) 356-3818
Fax
(240) 250-5521
NPI assigned
Oct 24, 2019
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Dr. Keyona Hall, LCPCNPI 1043720055
Title
Mental Health Therapist
Phone
(301) 356-3818

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2 Post Office Rd Ste 1B
Waldorf, MD 20602-2726

Mailing address

2 Post Office Rd Ste 1B
Waldorf, MD 20602-2726
Phone (301) 356-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513000517 MD Part B Supplier - Clinic/Group Practice 4183193782 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

9015 Woodyard Rd
Ste 208
Clinton, MD 20735
Phone (202) 780-6659

4400 Stamp Rd
Ste 208
Temple Hills, MD 20748
Phone (301) 278-7956

2 Post Office Rd
Ste 1B
Waldorf, MD 20602
Phone (301) 302-0227

Practitioners & affiliated clinicians

Practitioners 1

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": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1811530629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POST OFFICE RD STE 1B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022726",
            "telephone_number": "301-356-3818",
            "fax_number": "240-250-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POST OFFICE RD STE 1B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022726",
            "telephone_number": "301-356-3818",
            "fax_number": "240-250-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KEYONA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "301-356-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.