CONNECTED SELF, LLC (NPI# 1932270568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932270568 |
| Entity Type | Organization |
| Organization Name | CONNECTED SELF, LLC |
| Practice Address |
3012 Mitchellville Rd Suite 103 Bowie MD 20716-3986 |
| Practice Telephone | 3012180836 |
| Practice Fax Number | 3012180836 |
| Mailing Telephone | 3012180836 |
| Mailing Fax Number | 3012180836 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | MS. MERLINA ALYCE PERKOWSKI (OWNER, SOLE THERAPIST) |
| Authorized Official Telephone | 3012180836 |
| Authorized Official Credential | LCMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LCM130 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 511509400 | 05 | |
| MD | MHN | 361133 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ConnectED SELF, LLC | 801 Lafarge Avenue, Louisville, CO 80027 |
| Street Address |
3012 MITCHELLVILLE RD SUITE 103 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225109861 | Merlina Alyce Perkowski | Marriage & Family Therapist | 3012 Mitchellville Rd, Suite 103, Bowie, MD 20716-3986 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| 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 |
| 1568583854 | Thane Stielow | Marriage & Family Therapist | 3600 Maureen Lane, Bowie, MD 20715 | 2007-04-03 |
| 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.