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MRS. SYREETA S MOODY LCPC
NPI 1306554019
Counselor - Mental Health in Bowie, MD

Active since November 10, 2022
13603 KINGS ISLE CT, BOWIE, MD 20721(202) 907-2690 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2026, Jul 22, 2024, Jul 12, 2024 and 2 more (5 updates tracked since 2022).

About Mrs. Syreeta S Moody Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SYREETA S MOODY LCPC (NPI 1306554019) is an individual mental health provider in Bowie, Maryland, licensed in Maryland (LC15305) and active in the NPI registry since November 2022. She maintains a secondary practice location in Annapolis.

NPPES Registry Identity

NPI1306554019
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SYREETA S MOODYCredential: LCPC
Location Address13603 KINGS ISLE CTBowie, MD 20721-4237
Mailing Address13603 Kings Isle CtBowie, MD 20721-4237 · (202) 907-2690 · Fax (301) 560-5290
Phone(202) 907-2690
Sole ProprietorNo
Enumeration DateNovember 10, 2022
Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1306554019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC15305✔ Licensed in PA · PC019996
Also ListedCounselorTaxonomy 101Y00000X · License LC15305 (MD), PC019996 (PA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC019996 (PA), LC15305 (MD)
13603 KINGS ISLE CT, Bowie, MD 20721
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Secondary Practice Location 1

Location 11910 Towne Centre Blvd Ste 250Annapolis, MD 21401-3599 · Phone (443) 256-5290

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECIAL HANDS OUTREACH, LLC
Community/Behavioral Health
13603 KINGS ISLE CT
BOWIE, MD 20721
Prince George's County (301) 821-3324

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 Syreeta Moody's NPI number?

The NPI number for Syreeta Moody is 1306554019. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Syreeta Moody located?

Syreeta Moody practices at 13603 Kings Isle Ct, Bowie, MD 20721. The listed phone number is (202) 907-2690.

What is Syreeta Moody's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Syreeta Moody was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.