Organization Active NPI

Pastoral Counseling Center of St. Mary's, Inc.

  • Community/Behavioral Health Agency
  • Lexington Park, MD
National Provider Identifier
1942330345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PASTORAL COUNSELING CENTER OF ST. MARY'S, INC.
Practice address
21641 Great Mills Rd
Lexington Park, MD 20653-1239
Phone
(301) 863-9333
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lynn Kendrick, BSN, MSED, RN, BC
Title
President, Board of Directors
Phone
(301) 863-2605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21641 Great Mills Rd
Lexington Park, MD 20653-1239

Mailing address

21641 Great Mills Rd
Lexington Park, MD 20653-1239
Phone (301) 863-9333

National Provider Directory

National Provider Directory

Locations

21641 Great Mills Rd
Lexington Park, MD 20653
Phone (301) 863-9333

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942330345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21641 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531239",
            "telephone_number": "301-863-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21641 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531239",
            "telephone_number": "301-863-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING CENTER OF ST. MARY'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "301-863-2605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, MSED, RN, BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.