MR. THANE STIELOW (NPI# 1568583854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568583854 |
| Entity Type | Individual |
| Full Name | MR. THANE STIELOW |
| Credential | LCMFT |
| Practice Address |
3600 Maureen Lane Bowie MD 20715 |
| Mailing Address |
3600 Maureen Ln Bowie MD 20715-2936 |
| Practice Telephone | 3018021159 |
| Mailing Telephone | 3018021159 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LCM206 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 58956180 | 05 |
| Street Address |
3600 MAUREEN LANE |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003461492 | Tiphanie Gibbs | Marriage & Family Therapist | 3010 Mitchellville Rd Ste 104, Bowie, MD 20716-6302 | 2019-08-03 |
| 1275865289 | Somatika, LLC | Marriage & Family Therapist | 3010 Mitchellville Rd, Suite 104, Bowie, MD 20716-6300 | 2010-02-02 |
| 1932270568 | Connected Self, LLC | Marriage & Family Therapist | 3012 Mitchellville Rd, Suite 103, Bowie, MD 20716-3986 | 2006-11-13 |
| 1104995067 | Patrizia Pallaro | Marriage & Family Therapist | 3010 Mitchellville Road, Suite 104, Bowie, MD 20716-6302 | 2006-11-07 |
| 1598112286 | Shelia Dashiell | Marriage & Family Therapist | 10111 Martin Luther King Jr Hwy, Bowie, MD 20720-4200 | 2016-05-23 |
| 1932594769 | Erica St. Bernard | Marriage & Family Therapist | 4329 Northview Dr, Bowie, MD 20716-2601 | 2015-03-30 |
| 1679814586 | Wendy Wilcox | Marriage & Family Therapist | 4325 Northview Dr, Bowie, MD 20716-2601 | 2013-03-04 |
| 1225109861 | Merlina Alyce Perkowski | Marriage & Family Therapist | 3012 Mitchellville Rd, Suite 103, Bowie, MD 20716-3986 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594890 | Heidi L Summers | Marriage & Family Therapist | 212 Woodbine Ct, Forest Hill, MD 21050-3144 | 2020-09-23 |
| 1871113324 | Diana Kochan | Marriage & Family Therapist | 15235 Shady Grove Rd Ste 105, Rockville, MD 20850-6278 | 2020-04-24 |
| 1194359349 | Renee Clark | Marriage & Family Therapist | 6440 Dobbin Rd, Columbia, MD 21045-4770 | 2020-02-26 |
| 1952931891 | Thomas Luttrell | Marriage & Family Therapist | 7201 Wisconsin Ave Ste 440, Bethesda, MD 20814-4851 | 2020-01-20 |
| 1003454679 | Natalie Krenz | Marriage & Family Therapist | 7817 Blue Stream Dr, Elkridge, MD 21075-8168 | 2019-12-14 |
| 1437796778 | Nicole Filipe | Marriage & Family Therapist | 6216 Three Apple Downs, Columbia, MD 21045-7419 | 2019-12-05 |
| 1447892229 | Christina Tseng | Marriage & Family Therapist | 129 E Patrick St Ste 25, Frederick, MD 21701-6172 | 2019-10-12 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1720636590 | Krista Zerby | Marriage & Family Therapist | 1829 Reisterstown Rd Ste 350322, Pikesville, MD 21208-6320 | 2019-08-26 |
| 1811540610 | Lauren Rebecca Silberman | Marriage & Family Therapist | 1001 Spring St Apt 110, Silver Spring, MD 20910-4006 | 2019-07-20 |
| Find all providers with the same taxonomy | ||||
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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.