CHANGING GENERATIONAL LEGACIES,LLC
NPI 1598012155
Counselor - Professional in Largo, MD

Active since August 13, 2012
1401 MERCANTILE LN, SUITE 200-Q, LARGO, MD 20774(301) 322-4141(301) 322-9199 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Generational Legacies,llc NPPES

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

CHANGING GENERATIONAL LEGACIES,LLC (NPI 1598012155) is a healthcare organization registered as a professional in Largo, Maryland and active in the NPI registry since August 2012. The organization lists Debra Joyce Johnson, Ceo, Founder, as its authorized official.

NPPES Registry Identity

NPI1598012155
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCHANGING GENERATIONAL LEGACIES,LLC
Location Address1401 MERCANTILE LN, SUITE 200-QLargo, MD 20774-4301
Mailing Address1401 Mercantile Ln, Suite 200-qLargo, MD 20774-4301 · (301) 322-4141 · Fax (301) 322-9199
Fax(301) 322-9199
Organization SubpartNo
Authorized OfficialDebra Joyce JohnsonCeo, Founder · (301) 322-4141
Enumeration DateAugust 13, 2012
NPI 1598012155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC3809
1401 MERCANTILE LN, Largo, MD 20774

Other Identifiers 1

Medicaid040457800MD

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 15

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

Counselor (Professional)
1401 MERCANTILE LN
LARGO, MD 20774
Physical Therapist
1401 MERCANTILE LN, SUITE 107
LARGO, MD 20774
Psychologist
1401 MERCANTILE LN, SUITE 200-X2
LARGO, MD 20774
Home Health
1401 MERCANTILE LN, 200-J
LARGO, MD 20774
Day Training, Developmentally Disabled Services
1401 MERCANTILE LN, 200 U
LARGO, MD 20774
Rehabilitation Practitioner
1401 MERCANTILE LN
LARGO, MD 20774
Dentist (Oral and Maxillofacial Surgery)
1401 MERCANTILE LN, SUITE 102
LARGO, MD 20774
Social Worker (Clinical)
1401 MERCANTILE LN
UPPER MARLBORO, MD 20774

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 Changing Generational Legacies,llc's NPI number?

The NPI number for Changing Generational Legacies,llc is 1598012155. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Changing Generational Legacies,llc located?

Changing Generational Legacies,llc is located at 1401 Mercantile Ln Suite 200-Q, Largo, MD 20774. The listed phone number is (301) 322-4141.

What is Changing Generational Legacies,llc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Changing Generational Legacies,llc was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.