INNER PEACE THERAPEUTIC SERVICES, LLC
NPI 1710303573
Counselor - Mental Health in Lexington Park, MD

Q: What is Inner Peace Therapeutic Services, LLC's specialty?

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

Active since March 17, 2014

22776 THREE NOTCH RD STE 210, LEXINGTON PARK, MD 20653(301) 866-6333(240) 718-1906 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Inner Peace Therapeutic Services, Llc NPPES

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

INNER PEACE THERAPEUTIC SERVICES, LLC (NPI 1710303573) is a healthcare organization registered as a mental health in Lexington Park, Maryland and active in the NPI registry since March 2014. The organization lists Jacqueline Dale Grantland, Owner, as its authorized official.

NPPES Registry Identity

NPI1710303573

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameINNER PEACE THERAPEUTIC SERVICES, LLC

Location Address22776 THREE NOTCH RD STE 210Lexington Park, MD 20653-3370

Mailing AddressPo Box 1662Lexington Park, MD 20653-1662 · (240) 718-8460 · Fax (240) 718-1906

Phone(301) 866-6333

Fax(240) 718-1906

Organization SubpartNo

Authorized OfficialJacqueline Dale GrantlandOwner · (301) 866-6333

Enumeration DateMarch 17, 2014

Last NPPES UpdateFebruary 2, 2024

NPPES CertifiedFebruary 2, 2024

✔ NPI 1710303573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MD · LC4189

22776 THREE NOTCH RD STE 210, Lexington Park, MD 20653

Open in Google Maps ↗

Other Identifiers 1

Medicaid6103219NC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner Peace Therapeutic Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Inner Peace Therapeutic Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jacqueline Grantland, LCPC, NCC

Mental Health Counselor

NPI 1316905524

22776 THREE NOTCH RD STE 210
Lexington Park, MD 20653

(301) 866-6333

✔ PECOS✔ Accepts MedicareSame address

Taylor Winston

Mental Health Counselor

NPI 1164155966

22776 THREE NOTCH RD SUITE 210
Lexington Park, MD 20653

(301) 866-6333

✔ PECOS✔ Accepts MedicareSame address

Ciara Hoover, LCPC

Mental Health Counselor

NPI 1629793526

23127 THREE NOTCH RD STE 101
California, MD 20619

(301) 866-6333

✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Inner Peace Therapeutic Services, LLC's NPI number?

The NPI number for Inner Peace Therapeutic Services, LLC is 1710303573. It was assigned to this organization in the NPPES registry on March 17, 2014.

Where is Inner Peace Therapeutic Services, LLC located?

Inner Peace Therapeutic Services, LLC is located at 22776 Three Notch Rd Ste 210, Lexington Park, MD 20653. The listed phone number is (301) 866-6333.

What is Inner Peace Therapeutic Services, LLC's specialty?

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

Is Inner Peace Therapeutic Services, LLC enrolled in Medicare?

Yes. Inner Peace Therapeutic Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Peace Therapeutic Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Inner Peace Therapeutic Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inner Peace Therapeutic Services, LLC was last updated on February 2, 2024. 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.