Healthcare Provider Details

I. General information

NPI: 1740620244
Provider Name (Legal Business Name): THINK AND PLAY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 SIMMONS LN
CLINTON MD
20735-9721
US

IV. Provider business mailing address

6907 SIMMONS LN
CLINTON MD
20735-9721
US

V. Phone/Fax

Practice location:
  • Phone: 240-244-6738
  • Fax:
Mailing address:
  • Phone: 240-244-6738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC4937
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC4937
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC4937
License Number StateMD

VIII. Authorized Official

Name: KRISTENA JENKINS
Title or Position: LICENSED CLINICAL PROFESSIONAL COUN
Credential: LCPC
Phone: 240-244-6738