Organization Active NPI

Connected Communities for Behavioral Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crofton, MD
National Provider Identifier
1033997705
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS
Practice address
2139 Espey CT Ste 2
Crofton, MD 21114-2446
Phone
(202) 230-2374
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Frasier
Title
Owner
Phone
(202) 230-2374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2139 Espey CT Ste 2
Crofton, MD 21114-2446

Mailing address

2139 Espey CT Ste 2
Crofton, MD 21114-2446
Phone (202) 230-2374

Other names 1

  • Choosing Wellness, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connected Communities for Behavioral Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1033997705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 ESPEY CT STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142446",
            "telephone_number": "202-230-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 ESPEY CT STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142446",
            "telephone_number": "202-230-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-230-2374"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choosing Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.