OUTREACH RECOVERY II, LLC
NPI 1003431099
Counselor - Addiction (Substance Use Disorder) in Waldorf, MD
About Outreach Recovery Ii, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUTREACH RECOVERY II, LLC (NPI 1003431099) is a healthcare organization registered as an addiction (substance use disorder) in Waldorf, Maryland and active in the NPI registry since June 2020. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists Isiah Coles, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 21D2162857
Outreach Recovery Laboratory · Laurel, MDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20603
WALDORF, MD 20603
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Outreach Recovery II, LLC's NPI number?
The NPI number for Outreach Recovery II, LLC is 1003431099. It was assigned to this organization in the NPPES registry on June 15, 2020.
Where is Outreach Recovery II, LLC located?
Outreach Recovery II, LLC is located at 11340 Pembrooke Sq Ste 214, Waldorf, MD 20603. The listed phone number is (877) 889-4829.
What is Outreach Recovery II, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Does Outreach Recovery II, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D2162857) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Outreach Recovery II, LLC was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Outreach Recovery Ii, Llc · NPI 1003431099
Addiction (Substance Use Disorder) organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since June 15, 2020.
## Identity
- **NPI:** 1003431099 (Entity type: Organization)
- **Enumerated:** June 15, 2020
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** Isiah Coles, COO
## Practice location
- **Address:** 11340 PEMBROOKE SQ STE 214, Waldorf, MD 20603-4808
- **Phone:** (877) 889-4829
## Record status
- **NPPES last updated:** December 1, 2023
- **Other identifiers:** Medicaid 8249491676 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003431099) · Data from the CMS NPPES public registry.