MRS. MARIETTA HERNDON (NPI# 1568917193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568917193 |
| Entity Type | Individual |
| Full Name | MRS. MARIETTA HERNDON |
| Other Name | MRS. MARIETTA ELENA JONES HERNDON |
| Credential | M.A,, LGPC |
| Practice Address |
4900 Rhode Island Ave Ste 101 Hyattsville MD 20781-2040 |
| Mailing Address |
4990 Rhode Island Ave Hyattsville Hyattsville MD 20781-2027 |
| Practice Telephone | 3016993660 |
| Mailing Telephone | 3016993660 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LGP6887 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE GRADUATE PROFESSIONAL COUNSELOR | LGP6887 | 01 |
| Street Address |
4900 RHODE ISLAND AVE STE 101 |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20781-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338439 | Afi N Keto | Home Health Aide | 5705 43rd Ave Apt 2, Hyattsville, MD 20781 | 2018-06-04 |
| 1760899637 | Brigid Prosser | Registered Nurse | 5804 Baltimore Ave., Hyattsville, MD 20781 | 2014-07-12 |
| 1689918807 | Flora P Krimi-johnson | Home Health Aide | 5247 Kenilworth Av Apt 304, Hyattsville, MD 20781 | 2012-11-15 |
| 1235493305 | Elohor Ogbotor | Home Health Aide | 6527 Landover Rd, 201, Cheverly, MD 20781 | 2012-07-03 |
| 1013145887 | Fisseha Yitbarek Ghidey | Internal Medicine | 4509 Garfield St, Hyattsville, MD 20781 | 2009-06-30 |
| 1053504068 | Marie Surasky | Dentist | 5310 Kenilworth Ave, Hyattsville, MD 20781 | 2007-08-22 |
| 1144258278 | Wendy C Norris | Specialist/Technologist | Dematha High School, 4313 Madison St., Hyattsville, MD 20781 | 2006-06-29 |
| 1669712220 | Melvin Scott | Nurse Practitioner | 5804 Baltimore Ave, Hyattsville, MD 20781 | 2013-02-19 |
| 1467710814 | Meeken Diversified Management | Assisted Living Facility | 4849 Lydell Rd, Hyattsville, MD 20781-1116 | 2012-04-23 |
| 1396003729 | Bethesda Medical Equipment& Supplies | Durable Medical Equipment & Medical Supplies | 5728 Tuxedo Rd, Hyattsville, MD 20781-1316 | 2012-04-23 |
| Find all providers in zip 20781 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1780104455 | Shantius Jackson | Counselor | 2400 Queens Chapel Rd Apt 402, Hyattsville, MD 20782-3637 | 2017-06-23 |
| 1366977407 | Latrice Leigh Dowtin | Counselor | 5557 Baltimore Ave Ste 500-1151, Hyattsville, MD 20781-1922 | 2017-04-26 |
| 1982077566 | Shardell I Viatonu | Counselor | 6495 New Hampshire Ave # A303, Hyattsville, MD 20783-3245 | 2015-11-04 |
| 1558732206 | Sam Okanume | Counselor | 8301 Professional Pl Ste 205, Hyattsville, MD 20785-2353 | 2015-10-07 |
| 1194147827 | Janelle Latrice Burgess | Counselor | 7717 Merrick Ln, Hyattsville, MD 20785-4627 | 2014-01-15 |
| 1871855247 | Tania M Hiraldo-melendez | Counselor | 1425 University Blvd E Ste 245, Hyattsville, MD 20783-4646 | 2012-06-12 |
| 1982973368 | Lanada N Williams | Counselor | 3300 E West Hwy Apt 531, Hyattsville, MD 20782-2186 | 2011-12-14 |
| 1104136183 | Karla Lawrence | Counselor | 5557 Baltimore Ave Ste 500-1026, Hyattsville, MD 20781-1922 | 2010-10-08 |
| 1770740730 | James Grayson Johnson IIi | Counselor | 4103 Longfellow St, Hyattsville, MD 20781-1748 | 2008-05-19 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20781 |
Please comment or provide details below to improve the information on MRS. MARIETTA HERNDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.