Organization Active NPI

Reflective Eyes Counseling and Consulting Center

  • Mental Health Counselor
  • Takoma Park, MD
National Provider Identifier
1841715356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC6269 Issued in MD
Legal business name
REFLECTIVE EYES COUNSELING AND CONSULTING CENTER
Practice address
7505 New Hampshire Ave Ste 300
Takoma Park, MD 20912-6972
Phone
(510) 804-5865
NPI assigned
Aug 4, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Anielka Y Martinez, LPCPNPI 1912211574
Title
Mental Health Counselor
Phone
(510) 804-5865

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
Mental Health Counselor 101YM0800X LCPC6269 MD Primary

Addresses

Primary practice location

7505 New Hampshire Ave Ste 300
Takoma Park, MD 20912-6972

Mailing address

7505 New Hampshire Ave Ste 300
Takoma Park, MD 20912-6972
Phone (510) 804-5865

Other practice location 1

6113 Quebec Pl
Berwyn Heights, MD 20740-2741
Phone (240) 475-7117

National Provider Directory

National Provider Directory

Locations

7505 New Hampshire Ave
Ste 300
Takoma Park, MD 20912
Phone (510) 804-5865

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": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841715356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 NEW HAMPSHIRE AVE STE 300",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126972",
            "telephone_number": "510-804-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 NEW HAMPSHIRE AVE STE 300",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126972",
            "telephone_number": "510-804-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6113 Quebec Pl",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402741",
            "country_code": "US",
            "telephone_number": "240-475-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFLECTIVE EYES COUNSELING AND CONSULTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANIELKA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "510-804-5865",
        "authorized_official_credential": "LPCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCPC6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.