Your Safe Space

Primary specialty

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

Legal business name

YOUR SAFE SPACE

Practice address

10111 Martin Luther King Jr Hwy Ste 103
Bowie, MD 20720-4225

Phone

(301) 459-0708

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Carolyn Simms, LCPCNPI 1952896458

Title

Owner

Phone

(301) 980-4581

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 2

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

• Carolyn Simms, LCPC

  • Mental Health Counselor
  • Bowie, MD
  • NPI 1952896458
  NPD Authorized official
• Jami S. Brooks

  • Professional Counselor
  • Bowie, MD
  • NPI 1962158345
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1982348165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204225",
            "telephone_number": "301-459-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204225",
            "telephone_number": "301-459-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SAFE SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-980-4581",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819022400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csimms@yoursafespace.org",
            "affiliation": "N",
            "endpointDescription": "csimms@yoursafespace.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10111 Martin Luther King Jr Hwy Ste 103",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207204225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csimms@yoursafespace.org",
            "affiliation": "N",
            "endpointDescription": "csimms@yoursafespace.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10111 Martin Luther King Jr Hwy Ste 103",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207204225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Younes, PHARMD
• Dawnsherrie K Young
• Donovan Young
• Lisa Young, LCPC
• Tayah Michelle Young
• Your Support Service
• Your Support Service
• Your Support Service
• Yours 2 Mine Dda Services, Inc.
• Ashley Sianou Nanga Yousa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bowie, MD
• Providers in Bowie, 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 Apr 25, 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.