NPIMap

Organization Active NPI

Mending Heart Christian Counseling Services

  • Clinical Social Worker
  • Fort Washington, MD
National Provider Identifier
1811759376
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENDING HEART CHRISTIAN COUNSELING SERVICES
Practice address
316 Lismore Dr
Ft Washington, MD 20744-6512
Phone
(253) 576-8514
Fax
(240) 846-5999
NPI assigned
Jan 29, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Dr. Chantay P White-Eley, PHDNPI 1184761256
Title
Owner
Phone
(253) 576-8514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

316 Lismore Dr
Ft Washington, MD 20744-6512

Mailing address

316 Lismore Dr
Ft Washington, MD 20744-6512
Phone (202) 657-1500

Other practice location 1

2121 Eisenhower Ave Ste 301
Alexandria, VA 22314-4688
Phone (202) 657-1500

National Provider Directory

National Provider Directory

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1811759376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LISMORE DR",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207446512",
            "telephone_number": "202-657-1500",
            "fax_number": "240-846-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 LISMORE DR",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207446512",
            "telephone_number": "253-576-8514",
            "fax_number": "240-846-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Eisenhower Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144688",
            "country_code": "US",
            "telephone_number": "202-657-1500",
            "fax_number": "240-846-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDING HEART CHRISTIAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "WHITE-ELEY",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-576-8514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.