DXT THERAPEUTIC SERVICES (NPI# 1417410044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417410044 |
| Entity Type | Organization |
| Organization Name | DXT THERAPEUTIC SERVICES |
| Practice Address |
7610 Pennsylvania Ave Ste 301 District Heights MD 20747-4701 |
| Mailing Address |
3314 Valley Forest Dr Upper Marlboro MD 20772-9400 |
| Practice Telephone | 2406762895 |
| Practice Fax Number | 2408387736 |
| Mailing Telephone | 2406762895 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MICHELLE HARE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2406762895 |
| Authorized Official Credential | LCPC,LPC,MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers | ||
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
Nursing Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919983 | Dxt Therapeutic Services | Community/Behavioral Health | 7610 Pennsylvania Ave Ste 301, Forestville, MD 20747-4701 | 2019-12-17 |
| 1689199952 | Dxt Therapeutic Services | Counselor | 7610 Pennsylvania Ave Ste 301, Forestville, MD 20747-4701 | 2017-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DXT THERAPEUTIC SERVICES LLC | 7610 Pennsylvania Ave Ste 301, Forestville, MD 20747-4701 |
| Street Address |
7610 PENNSYLVANIA AVE STE 301 |
| City | DISTRICT HEIGHTS |
| State | MD |
| Zip Code | 20747-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206733 | Richard Moore | Counselor | 1701 Walkus Ct, District Heights, MD 20747-1892 | 2014-08-29 |
| 1003222175 | Lynette Brooks Taylor | Counselor | 6017 N Hil Mar Cir, District Heights, MD 20747-2968 | 2014-07-09 |
| 1770772279 | Latarsha Doris Walker | Counselor | 7704 Starshine Dr, District Heights, MD 20747-1895 | 2007-10-19 |
| 1851941256 | Manuela Mbouma | Counselor | 2000 Marbury Dr, District Heights, MD 20747-2334 | 2019-09-17 |
| 1063827061 | District Heights Family & Youth Services Bureau | Counselor | 2000 Marbury Dr, District Heights, MD 20747-2334 | 2014-06-27 |
| 1902241763 | Diane Hallila Passero | Counselor | 2000 Marbury Dr, District Heights, MD 20747-2334 | 2013-05-07 |
| 1770872046 | Basics Group Practice | Counselor | 7610 Pennsylvania Ave, Suite 103, District Heights, MD 20747-4701 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | DISTRICT HEIGHTS |
| Zip Code | 20747 |
Please comment or provide details below to improve the information on DXT THERAPEUTIC SERVICES.
| 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.