Organization Active NPI

Rehab2Wellness LLC

  • Mental Health Counselor
  • Fort Washington, MD
National Provider Identifier
1104624329
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REHAB2WELLNESS LLC
Practice address
6711 Farmer Dr
Fort Washington, MD 20744-1021
Phone
(832) 708-9321
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Ms. Jerrilyn E. J Fabien, LGPCNPI 1114868239
Title
Therapist/ Ownder
Phone
(240) 338-6118

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6711 Farmer Dr
Fort Washington, MD 20744-1021

Mailing address

6301 Whistlers PL
Waldorf, MD 20603-4361
Phone (832) 708-9321

Other practice location 1

2670 Crain Hwy Ste 205
Waldorf, MD 20601-2816
Phone (301) 679-7267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104624329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 WHISTLERS PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034361",
            "telephone_number": "832-708-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 FARMER DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441021",
            "telephone_number": "832-708-9321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Crain Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012816",
            "country_code": "US",
            "telephone_number": "301-679-7267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB2WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "FABIEN",
        "authorized_official_first_name": "JERRILYN",
        "authorized_official_middle_name": "E. J",
        "authorized_official_title_or_position": "THERAPIST/ OWNDER",
        "authorized_official_telephone_number": "240-338-6118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.