Takoma Counseling, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LC2095 Issued in MD

Legal business name

TAKOMA COUNSELING, INC.

Practice address

6930 Carroll Ave Ste 830
Takoma Park, MD 20912-4461

Phone

(301) 537-8846

NPI assigned

Jul 16, 2017

Organization subpart

No

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

Authorized official

Name

Bethany Porter, LCPC

Title

Owner

Phone

(301) 537-8846

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500163200000",
    "number": "1922520485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE STE 830",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124461",
            "telephone_number": "301-537-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE STE 830",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124461",
            "telephone_number": "301-537-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-07-16",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-537-8846",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abebayehu Teshome Tadesse, CERTIFICATE
• Constance Tafon
• Louis Tabeagbor Takang
• Tebi Takeh
• Divine Tako Ebai
• Takoma Family Health Center, LLC
• Takoma Park Gynecology LLC
• Takoma Park MD Opco LLC
• Takoma Therapy, LLC
• Takoma-Langley Park Behavioral Health Services, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2017; 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.