Olive Tree 1 Care of Maryland

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OLIVE TREE 1 CARE OF MARYLAND

Practice address

8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061

Phone

(202) 340-1953

NPI assigned

Mar 22, 2024

Organization subpart

Yes

Parent organization

OLIVE TREE 1 CAREAs reported in NPPES

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

Authorized official

Name

Javon Cory Oliver, LPCNPI 1932395522

Title

Ceo

Phone

(202) 340-1953

Specialties & licenses 6

Addresses

Other identifiers 2

Tax ID family

Olive Tree 1 Care2 organizations share this tax ID, including this one

Part of

Olive Tree 1 Care

Other organizations with this tax ID 1

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

• Olive Tree 1 Care

  • Mental Health Counselor
  • Washington, DC
  • NPI 1962278069
  NPD tax ID

Practitioners 1

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

• Javon Cory Oliver, MS

  • Mental Health Counselor
  • Washington, DC
  • NPI 1932395522
  NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1104676352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 THORNBERRY DR E",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725061",
            "telephone_number": "202-340-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 THORNBERRY DR E",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725061",
            "telephone_number": "202-340-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Shepherd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115944",
            "country_code": "US",
            "telephone_number": "202-340-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE TREE 1 CARE OF MARYLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVE TREE 1 CARE",
        "enumeration_date": "2024-03-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JAVON",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-340-1953",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021983047",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642010900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiwane Antonio Olaniran
• Yetunde A Olaniyi, RPH
• Aderonke Olaoye
• Kolawole Richard Olatunde, HHA
• Kehinde Olatunji, CRNP, PMHNP-BC
• Olive Tree 1Care
• Ciarrah Oliver
• Samson Olowe, PRESIDENT/CEO
• Grace Olowononi
• Onyeka Oloyede, BCBA

• Professional Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.