Active NPI
Shades of Insight Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bowie, MD
National Provider Identifier
1902607633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SHADES OF INSIGHT THERAPY LLC
- Practice address
- 12715 Gladys Retreat Cir
Bowie, MD 20720-3340 - Phone
- (240) 357-0597
- NPI assigned
- Mar 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ariel Lewis, PHD, LCPC
- Title
- Owner
- Phone
- (240) 357-0597
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| 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 |
Addresses
Primary practice location
12715 Gladys Retreat Cir
Bowie, MD 20720-3340
Mailing address
12715 Gladys Retreat Cir
Bowie, MD 20720-3340
Phone (240) 357-0597
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1902607633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12715 GLADYS RETREAT CIR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203340",
"telephone_number": "240-357-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12715 GLADYS RETREAT CIR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203340",
"telephone_number": "240-357-0597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHADES OF INSIGHT THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-357-0597",
"authorized_official_credential": "PHD, LCPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.