Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Body Image Therapy Center Intensive

Organization Mental Health Counselor · NPI 1982035994

Body Image Therapy Center Intensive is a Mental Health Counselor in Washington, District of Columbia. Works from 3 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2013
Specialties on file
5
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Practice location Address checks out

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651
Phone: (877) 674-2843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3521 Buckeystown Pike, Buckeystown, MD 21717 — (877) 674-2843
  • 9192 Red Branch Rd, Columbia, MD 21045-2030 — (443) 602-6515

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Mental Health Counselor Taxonomy 101YM0800X (MD)
Clinical Social Worker Taxonomy 1041C0700X (MD)
Nutritionist Taxonomy 133N00000X (MD)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1982035994
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Body Image Therapy Center, LLC
Authorized official Jeremy Reals — Outpatient Operations Manager · (202) 819-5000
NPI enumeratedDecember 2, 2013
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address2639 Connecticut Ave Nw Ste 251, Washington, DC 20008-2651

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