NPIMap

Organization Active NPI

Therapy Cafe LLC

Doing business as Therapy Cafe

  • Clinical Psychologist
  • Prince Frederick, MD
National Provider Identifier
1932654928
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04363 Issued in MD
Legal business name
THERAPY CAFE LLC
Doing business as
Therapy Cafe
Practice address
65 Duke St Ste 106
Prince Frederick, MD 20678-6128
Phone
(443) 295-8955
Fax
(888) 883-1589
NPI assigned
Aug 18, 2016
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Mrs. Allison StensonNPI 1154889202
Title
Cfo
Phone
(443) 295-8955

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 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 04363 MD Primary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

65 Duke St Ste 106
Prince Frederick, MD 20678-6128

Mailing address

35 Duke St Unit 763
Prince Frederick, MD 20678-7528
Phone (443) 295-8955

Other identifiers 1

IdentifierTypeStateIssuer
1528238698OtherMDINDIVIDUAL NPI

Other names 1

  • Therapy Cafe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Therapy Cafe6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65 Duke St
Ste 203
Prince Frederick, MD 20678
Phone (240) 237-8716

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1932654928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DUKE ST UNIT 763",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206787528",
            "telephone_number": "443-295-8955",
            "fax_number": "888-883-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST STE 106",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "443-295-8955",
            "fax_number": "888-883-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CAFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "STENSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-295-8955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04363",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528238698",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Cafe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.