Organization Active NPI

Emerge Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beltsville, MD
National Provider Identifier
1093692220
Registry record updated Apr 16, 2026
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
EMERGE WELLNESS CENTER LLC
Practice address
5020 Sunnyside Ave Ste 206
Beltsville, MD 20705-2307
Phone
(301) 828-2792
Fax
(301) 828-2794
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Ram Koura OulaNPI 1245985456
Title
Administrator
Phone
(240) 481-6449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5020 Sunnyside Ave Ste 206
Beltsville, MD 20705-2307

Mailing address

14109 Oakpointe Dr
Laurel, MD 20707-5863
Phone (240) 481-6449

Other practice location 1

14109 Oakpointe Dr
Laurel, MD 20707-5863
Phone (301) 828-2792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210000421 DC Part B Supplier - Clinic/Group Practice 8426537531 Receives reassigned benefits from 1 practitioner
Practice locations: Beltsville, MD

National Provider Directory

National Provider Directory

Locations

5020 Sunnyside Ave
Ste 206
Beltsville, MD 20705
Phone (301) 828-2792

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1093692220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 OAKPOINTE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075863",
            "telephone_number": "240-481-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SUNNYSIDE AVE STE 206",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052307",
            "telephone_number": "301-828-2792",
            "fax_number": "301-828-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14109 Oakpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075863",
            "country_code": "US",
            "telephone_number": "301-828-2792",
            "fax_number": "301-828-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "OULA",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "KOURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-481-6449"
    },
    "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": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.