LA PLATA PEDIATRICS & FAMILY HEALTH, LLC
NPI 1619757713
Counselor - Mental Health in La Plata, MD

Active since October 05, 2023CLIA 21D2237396 · Waiver
103 CENTENNIAL ST STE C, LA PLATA, MD 20646(301) 934-9111 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Plata Pediatrics & Family Health, Llc NPPES

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

LA PLATA PEDIATRICS & FAMILY HEALTH, LLC (NPI 1619757713) is a healthcare organization registered as a mental health in La Plata, Maryland and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Jamie Lee Reidy, Owner, as its authorized official.

NPPES Registry Identity

NPI1619757713
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLA PLATA PEDIATRICS & FAMILY HEALTH, LLC
Location Address103 CENTENNIAL ST STE CLa Plata, MD 20646-5985
Mailing Address103 Centennial St Ste CLa Plata, MD 20646-5985 · (301) 934-9111
Organization SubpartYes
Authorized OfficialJamie Lee ReidyOwner · (301) 643-8127
Enumeration DateOctober 5, 2023
NPPES CertifiedOctober 3, 2023
NPI 1619757713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
103 CENTENNIAL ST STE C, La Plata, MD 20646

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 21D2237396

La Plata Pediatrics & Family Health · La Plata, MD
Active · expires Sep 23, 2027
CLIA Number21D2237396
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJamie L. Reidy
Laboratory Phone(301) 934-9111
Laboratory LocationLa Plata Pediatrics & Family Health103 Centennial Street Ste C, La Plata, MD 20646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
103 CENTENNIAL ST STE C
LA PLATA, MD 20646
Nurse Practitioner (Family)
103 CENTENNIAL ST STE C
LA PLATA, MD 20646
Nurse Practitioner (Family)
103 CENTENNIAL ST STE C
LA PLATA, MD 20646
Pediatrics
103 CENTENNIAL ST STE C
LA PLATA, MD 20646
Pediatrics
103 CENTENNIAL ST STE C
LA PLATA, MD 20646

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 La Plata Pediatrics & Family Health, LLC's NPI number?

The NPI number for La Plata Pediatrics & Family Health, LLC is 1619757713. It was assigned to this organization in the NPPES registry on October 5, 2023.

Where is La Plata Pediatrics & Family Health, LLC located?

La Plata Pediatrics & Family Health, LLC is located at 103 Centennial St Ste C, La Plata, MD 20646. The listed phone number is (301) 934-9111.

What is La Plata Pediatrics & Family Health, LLC's specialty?

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

Does La Plata Pediatrics & Family Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2237396) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Plata Pediatrics & Family Health, LLC was last updated on October 5, 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.