Individual provider Active NPI

Kathy D Griffin, LCPC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1962976480
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10406 Issued in MD
Practice address
15218 N Berwick LN
Upper Marlboro, MD 20774-9029
Phone
(301) 704-5470
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC10406 MD Primary
Mental Health Counselor 101YM0800X 8625 MD

Addresses

Primary practice location

15218 N Berwick LN
Upper Marlboro, MD 20774-9029

Mailing address

15218 N Berwick LN
Upper Marlboro, MD 20774-9029
Phone (301) 704-5470

Other names 1

  • Rested Counseling Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC10406MDMDMental Health Counselor
8625MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rested Counseling Services, LLC Mental Health CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1962976480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 N BERWICK LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749029",
            "telephone_number": "301-704-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 N BERWICK LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749029",
            "telephone_number": "301-704-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KATHY",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10406",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "8625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESTED",
            "last_name": "SERVICES",
            "middle_name": "COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.