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THERAPY @ 9811 INC
NPI 1376823823
Counselor in Laurel, MD

Active since August 27, 2011
9811 MALLARD DR, SUITE 210/211, LAUREL, MD 20708(301) 525-3205 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Therapy @ 9811 Inc NPPES

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

THERAPY @ 9811 INC (NPI 1376823823) is a healthcare organization registered as a counselor in Laurel, Maryland and active in the NPI registry since August 2011. The organization lists Jaccqueline Somerville, Owner/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1376823823
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameTHERAPY @ 9811 INC
Location Address9811 MALLARD DR, SUITE 210/211Laurel, MD 20708-3143
Mailing Address6996 Hanover Pkwy Apt 202Greenbelt, MD 20770-2244 · (443) 852-2641
Phone(301) 525-3205
Organization SubpartNo
Authorized OfficialJaccqueline SomervilleOwner/ Ceo · (301) 525-3205
Enumeration DateAugust 27, 2011
Last NPPES UpdateNovember 1, 2013
✔ NPI 1376823823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · LC2025
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9811 MALLARD DR, Laurel, MD 20708
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Other Identifiers 15

OtherNO NUMBER ASSIGNEDCarebridge Eap
Other7695828Aetna (mhmo, Mppo, Mepo, Mcppo, Eap)
OtherID NUMBER IS TAX IDMhn
Other676619United Behavioral Health
Medicaid413473700MD
Other676619Value Options
OtherNO NUMBER ASSIGNEDCorphealth
OtherNO NUMBER ASSIGNEDCeridian Eap
Other1875Carefirst Blue Cross Blue Shield
OtherID NUMBER IS AN NPITricare
Other01217038Amerigroup Medicaid
OtherNO NUMBER ASSIGNEDFirst Advantage Eap
OtherNO NUMBER ASSIGNEDInova Eap
Other1875-0001Carefist Fep
Other55STJECarefirst Of Maryland

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. STEPHANIE WILKS PERDUE M.D.
Pediatrics (Adolescent Medicine)
9811 MALLARD DR, SUITE 109
LAUREL, MD 20708
Prince George's County (301) 776-8000
JILL BANGERT LCSWC
Social Worker (Clinical)
9811 MALLARD DR, SUITE 209
LAUREL, MD 20708
Prince George's County (301) 776-9492
DR. DAVID DURAIRAJ KOILPILLAI DDS
Dentist
9811 MALLARD DR, SUITE 207
LAUREL, MD 20708
Prince George's County (301) 604-0025
DR. MEI-LIN LU M.D.
Pediatrics
9811 MALLARD DR, SUITE 109
LAUREL, MD 20708
Prince George's County (301) 776-8000
DR. NEIL A MEADE M.D.
Family Medicine
9811 MALLARD DR, SUITE 205
LAUREL, MD 20708
Prince George's County (301) 953-1020
AGAS MEDICAL GROUP, LLC
General Practice
9811 MALLARD DR, SUITE # 213
LAUREL, MD 20708
Prince George's County (301) 604-0562
WENDY WOODS DPM
Podiatrist (Foot Surgery)
9811 MALLARD DR, 118-119
LAUREL, MD 20708
Prince George's County (301) 497-9490
DR. MARTHA JANE HORN PH.D.
Counselor (Professional)
9811 MALLARD DR, SUITE 211
LAUREL, MD 20708
Prince George's County (301) 776-8554

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 Therapy @ 9811 Inc's NPI number?

The NPI number for Therapy @ 9811 Inc is 1376823823. It was assigned to this organization in the NPPES registry on August 27, 2011.

Where is Therapy @ 9811 Inc located?

Therapy @ 9811 Inc is located at 9811 Mallard Dr Suite 210/211, Laurel, MD 20708. The listed phone number is (301) 525-3205.

What is Therapy @ 9811 Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Therapy @ 9811 Inc was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.