Second Chance Addiction Care LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SECOND CHANCE ADDICTION CARE LLC

Practice address

401 E Jefferson St Ste 201
Rockville, MD 20850-2617

Phone

(301) 983-5130

Fax

(855) 270-6701

NPI assigned

Feb 29, 2024

Organization subpart

Yes

Parent organization

SECOND CHANCE ADDICTION CARE LLCAs reported in NPPES

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

Authorized official

Name

Heather Asbury

Title

Director of Operations

Phone

(301) 983-5130

Specialties & licenses 1

Addresses

Tax ID family

Second Chance Addiction Care4 organizations share this tax ID, including this one

Part of

Second Chance Addiction Care

Other organizations with this tax ID 3

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

• Second Chance Addiction Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1629890835
  NPD tax ID
• Second Chance Addiction Care LLC

  • Substance Abuse Rehabilitation Facility
  • Rockville, MD
  • NPI 1629835236
  NPD tax ID
• Second Chance Addiction Care LLC

  • Substance Abuse Rehabilitation Facility
  • Rockville, MD
  • NPI 1952888505
  NPD tax ID

Locations

Practitioners 1

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

• Simon Timm

  • Counseling Psychologist
  • Rockville, MD
  • NPI 1518832120
  NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1992562508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-983-5130",
            "fax_number": "855-270-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-983-5130",
            "fax_number": "855-270-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE ADDICTION CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND CHANCE ADDICTION CARE LLC",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "ASBURY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-983-5130"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Seborowski, M.D.
• Second Chance Addiction Care
• Second Chance Addiction Care
• Second Chance Addiction Care LLC
• Second Chance Addiction Care LLC
• Ivette Secundino-Isidro
• Lakisha Sedgewick
• Thomas Sedgwick
• Sarah Sedjat
• Kathlene See

• Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.