MRS. KERRI CHRISTINA LEGETTE MCCULLOUGH (NPI# 1164871612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164871612 |
Entity Type | Individual |
Full Name | MRS. KERRI CHRISTINA LEGETTE MCCULLOUGH |
Credential | ED.D, LPC, LCPC, NCC |
Practice Address |
7050 Chesapeake Rd Ste 104 Hyattsville MD 20784-2345 |
Mailing Address |
1731 Bunker Hill Rd Ne Washington DC 20017-3026 |
Practice Telephone | 2028130094 |
Mailing Telephone | 2028367776 |
Mailing Fax Number | 2025630109 |
Enumeration Date | 2016-06-06 |
Last Update Date | 2019-02-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | PRC14861 | DC | Behavioral Health & Social Service Providers |
Y | 101Y00000X | Counselor | LC8367 | MD | Behavioral Health & Social Service Providers |
Street Address |
7050 CHESAPEAKE RD STE 104 |
City | HYATTSVILLE |
State | MD |
Zip Code | 20784-2345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223489 | Letea Nerice Perry | Counselor | 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784-2345 | 2019-03-09 |
1508324849 | Tricialand Hilliard | Counselor | 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784-2345 | 2019-03-05 |
1598285488 | Marvin Nickleson Battle Jr. | Counselor | 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784-2345 | 2017-06-22 |
1396279824 | The Bridges Wellness Group, LLC. | Counselor | 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784 | 2017-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731363 | Detos Services LLC | Ambulance | 7609 Fontainebleau Drive, #2213, New Carrollton, MD 20784 | 2019-10-16 |
1649742263 | Nelson Ngang | Registered Nurse | 6611 Stanton Road, Hyattsville, MD 20784 | 2018-12-20 |
1497222152 | Relindis Lum Asangong | Home Health Aide | 5393 Quincy Street, Hyattville, MD 20784 | 2018-10-30 |
1801378278 | Reward Oruomachukwu Ezeogu Sr. | Home Health Aide | 3410 55th Avenue Apt 403, Hyattsville, MD 20784 | 2018-09-03 |
1417439118 | Lesly Teke Agwenjang | Home Health Aide | 5201 Quincy Street, Apt B2, Blandesburg, MD 20784 | 2018-08-30 |
1457839003 | Oluwafunbi Olafusi | Home Health Aide | 5337 85th Ave Apt 13, New Carrollton, MD 20784 | 2018-08-04 |
1427542000 | Richard Earl Ballard Jr. | Counselor | Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 | 2018-06-18 |
1225530272 | Tamba Biango | Home Health Aide | 4066 Warner Ave C5, Hyattsville, MD 20784 | 2018-03-06 |
1356867410 | Boris Acha Acha | Home Health Aide | 3512 54th Avenue, Hyattsville, MD 20784 | 2017-08-20 |
1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
Find all providers in zip 20784 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187118 | Carrin D Brown | Counselor | 8181 Professional Pl, Hyattsville, MD 20785-2226 | 2020-05-29 |
1932758802 | Karen Renay Edwards | Counselor | 1835 University Blvd E Ste 316, Hyattsville, MD 20783-4672 | 2019-09-04 |
1588097109 | Enrique Alfredo Simmons | Counselor | 2020 Roanoke St, Hyattsville, MD 20782-1610 | 2013-08-19 |
1598223489 | Letea Nerice Perry | Counselor | 7050 Chesapeake Rd Ste 104, Hyattsville, MD 20784-2345 | 2019-03-09 |
1982125589 | Abraham Hiwot Girmay | Counselor | 6475 New Hampshire Ave, Hyattsville, MD 20783-3269 | 2017-07-05 |
1295747285 | Family Behavioral Services, LLC | Counselor | 6475 New Hampshire Ave, Suite 650, Hyattsville, MD 20783-3269 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426519 | Elvis Sobo | Counselor | 4203 58th Ave Apt 7, Bladensburg, MD 20710-1911 | 2020-10-27 |
1285232066 | Philip B Terry-smith | Counselor | 8419 Shillelagh Dr, Severn, MD 21144-3141 | 2020-10-13 |
1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
1003422023 | Cecelia A. Rubertone | Counselor | 9813 Gartrell Pl, Kensington, MD 20895-3743 | 2020-09-16 |
1003422072 | True Balance Counseling Collective | Counselor | 1602 Providence Rd, Towson, MD 21286-1525 | 2020-09-16 |
1104430453 | Rita Prisca Nzuwah | Counselor | 7628 S Arbory Ln, Laurel, MD 20707-5534 | 2020-09-03 |
1649883836 | Frances Newton Washington | Counselor | 8924 Loughran Rd, Fort Washington, MD 20744-6780 | 2020-08-26 |
1265044986 | Block Counseling and Personal Wellness Strategies LLC | Counselor | 3523 Piney Woods Pl Apt G101, Laurel, MD 20724-6019 | 2020-08-24 |
1568074482 | Julia Patricia Sanders | Counselor | 1302 Brockton Dr, Eldersburg, MD 21784-8846 | 2020-08-21 |
Find all providers with the same taxonomy |
City | HYATTSVILLE |
Zip Code | 20784 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.