Organization Active NPI

Connected Communities for Behavioral Wellness

Doing business as Choosing Wellness, LLC

  • Community/Behavioral Health Agency
  • Crofton, MD
National Provider Identifier
1073196911
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS
Doing business as
Choosing Wellness, LLC
Practice address
2139 Espey CT Ste 2
Crofton, MD 21114-2446
Phone
(202) 230-2374
NPI assigned
Apr 29, 2021
Organization subpart
Yes
Parent organization
CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESSAs reported in NPPES

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, PHD
Title
Owner
Phone
(202) 230-2374

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X 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

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL ccbehavioralwellness.com Direct
CONNECT URL ccbehavioralwellness.com Direct

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1073196911",
    "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": "YES",
        "parent_organization_legal_business_name": "CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS",
        "enumeration_date": "2021-04-29",
        "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",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ccbehavioralwellness.com",
            "affiliation": "N",
            "endpointDescription": "ccbehavioralwellness.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3505 Winterbourne Dr",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207749117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ccbehavioralwellness.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2139 Espey Ct Ste 2",
            "city": "Crofton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211142446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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.