Organization Active NPI

Community Wellness Outpatient Mental Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1114348463
Registry record updated Mar 17, 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
COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC
Practice address
3310 Eastern Ave FL 1
Baltimore, MD 21224-4108
Phone
(667) 309-9920
Fax
(667) 309-9920
NPI assigned
Jan 3, 2014
Organization subpart
Yes
Parent organization
FREEDOM HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Mr. Vernon Holmes Jr., MBA
Title
Ceo
Phone
(667) 309-9920

Specialties & licenses 1

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

Addresses

Primary practice location

3310 Eastern Ave FL 1
Baltimore, MD 21224-4108

Mailing address

3310 Eastern Ave
Baltimore, MD 21224-4108
Phone (667) 309-9920

Other practice location 1

8402 Indian Head Hwy Apt C1
Fort Washington, MD 20744-4530
Phone (240) 766-4225

Other practice location 2

912 Mentor Ave Ofc
Capitol Heights, MD 20743-4051
Phone (202) 716-8287

Other practice location 3

925 N Broadway Ofc
Baltimore, MD 21205-1129
Phone (443) 708-5056

Other practice location 4

8428 Indian Head Hwy Apt B1
Fort Washington, MD 20744-4533
Phone (301) 485-8568

Other practice location 5

1119 E Monument St
Baltimore, MD 21202-4119
Phone (443) 873-7792

Other practice location 6

3021 Garrison Blvd
Baltimore, MD 21216-2070
Phone (667) 309-9920

Other practice location 7

9808 Tribonian Dr Lowr Level
Fort Washington, MD 20744-5422
Phone (301) 839-4248

Other practice location 8

1620 Druid Hill Ave
Baltimore, MD 21217-4960
Phone (667) 309-9920

Other practice location 9

1116 E 20th St
Baltimore, MD 21218-6312
Phone (667) 309-9920

Other practice location 10

1114 E 20th St
Baltimore, MD 21218-6312
Phone (667) 309-9920

Other practice location 11

1723 Gwynns Falls Pkwy
Baltimore, MD 21217-2098
Phone (667) 309-9920

Other practice location 12

2140 Druid Hill Ave
Baltimore, MD 21217-3236
Phone (667) 309-9920

Other practice location 13

1649 Darley Ave
Baltimore, MD 21213-1318
Phone (667) 309-9920

Other practice location 14

112 S Mount St
Baltimore, MD 21223-2768
Phone (667) 309-9920

Other practice location 15

5517 Ritchie Hwy Ste A
Brooklyn Park, MD 21225-3457
Phone (667) 309-9920

Other practice location 16

116 W Main St Ste 401
Salisbury, MD 21801-4905
Phone (667) 309-9920

Other practice location 17

820 Stone Ave
Waldorf, MD 20602-2844
Phone (667) 309-9920

Other practice location 18

908 Valley St Apt 13
Baltimore, MD 21202-5458
Phone (667) 210-6153

Other practice location 19

4301 Military Rd NW
Washington, DC 20015-2136
Phone (301) 801-0787

Other practice location 20

5515 Park St
Chevy Chase, MD 20815-7108
Phone (301) 801-0787

Other practice location 21

25709 Porter Mill Rd
Hebron, MD 21830-1009
Phone (443) 783-4897

Other practice location 22

809 N Rose St Ofc
Baltimore, MD 21205-1615
Phone (667) 930-3924

Other practice location 23

8360 Indian Head Hwy Apt A1
Fort Washington, MD 20744-4521
Phone (301) 485-8446

Other practice location 24

8390 Indian Head Hwy Apt C2
Fort Washington, MD 20744-4549
Phone (301) 485-8446

Other practice location 25

30936 Manchester Ln
Laurel, DE 19956-3588
Phone (443) 783-4897

Other practice location 26

2670 Kennedy Ave Ofc
Baltimore, MD 21218-4967
Phone (410) 624-7602

Other practice location 27

1820 Spence St Ofc
Baltimore, MD 21230-1351
Phone (443) 708-5056

Other practice location 28

1638 Ruxton Ave Ofc
Baltimore, MD 21216-3715
Phone (443) 708-0602

Other practice location 29

1450 Montpelier St Ofc
Baltimore, MD 21218-4852
Phone (443) 387-3819

Other practice location 30

3007 Rayner Ave Ofc
Baltimore, MD 21216-4612
Phone (443) 708-5056

Other practice location 31

819 N Fremont Ave Fl 2
Baltimore, MD 21217-2552
Phone (443) 708-5056

Other practice location 32

3415 Holmes Ave Apt 1
Baltimore, MD 21217-2067
Phone (443) 708-5056

Other identifiers 2

IdentifierTypeStateIssuer
180702672OtherMDMARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
424340400MedicaidMD

Other names 2

  • Community Wellness Center Doing business as
  • Community Wellness Outpatient Mental Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406001230 MD Part B Supplier - Clinic/Group Practice 6901182963 Receives reassigned benefits from 12 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Part of
Freedom Healthcare LLC

Locations

3310 Eastern Ave
Fl 1
Baltimore, MD 21224
Phone (443) 478-4304

1820 Spence St
Ofc
Baltimore, MD 21230
Phone (443) 708-5056

925 N Broadway
Ofc
Baltimore, MD 21205
Phone (443) 708-5056

5517 Ritchie Hwy
Ste A
Brooklyn Park, MD 21225
Phone (410) 504-9048

116 W Main St
Ste 401
Salisbury, MD 21801
Phone (302) 542-5721

820 Stone Ave
Waldorf, MD 20602

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1114348463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244108",
            "telephone_number": "667-309-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVE FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244108",
            "telephone_number": "667-309-9920",
            "fax_number": "667-309-9920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Indian Head Hwy Apt C1",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444530",
            "country_code": "US",
            "telephone_number": "240-766-4225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Mentor Ave Ofc",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207434051",
            "country_code": "US",
            "telephone_number": "202-716-8287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 N Broadway Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051129",
            "country_code": "US",
            "telephone_number": "443-708-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8428 Indian Head Hwy Apt B1",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444533",
            "country_code": "US",
            "telephone_number": "301-485-8568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1119 E Monument St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024119",
            "country_code": "US",
            "telephone_number": "443-873-7792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 Garrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212162070",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9808 Tribonian Dr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445422",
            "country_code": "US",
            "telephone_number": "301-839-4248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Druid Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212174960",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212186312",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212186312",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1723 Gwynns Falls Pkwy",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212172098",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Druid Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173236",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1649 Darley Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212131318",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 S Mount St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212232768",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5517 Ritchie Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MD",
            "postal_code": "212253457",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W Main St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014905",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022844",
            "country_code": "US",
            "telephone_number": "667-309-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Valley St Apt 13",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025458",
            "country_code": "US",
            "telephone_number": "667-210-6153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Military Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152136",
            "country_code": "US",
            "telephone_number": "301-801-0787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5515 Park St",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157108",
            "country_code": "US",
            "telephone_number": "301-801-0787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25709 Porter Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "MD",
            "postal_code": "218301009",
            "country_code": "US",
            "telephone_number": "443-783-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Rose St Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051615",
            "country_code": "US",
            "telephone_number": "667-930-3924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Indian Head Hwy Apt A1",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444521",
            "country_code": "US",
            "telephone_number": "301-485-8446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Indian Head Hwy Apt C2",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444549",
            "country_code": "US",
            "telephone_number": "301-485-8446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30936 Manchester Ln",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "DE",
            "postal_code": "199563588",
            "country_code": "US",
            "telephone_number": "443-783-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 Kennedy Ave Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184967",
            "country_code": "US",
            "telephone_number": "410-624-7602",
            "fax_number": "410-624-7607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Spence St Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212301351",
            "country_code": "US",
            "telephone_number": "443-708-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Ruxton Ave Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212163715",
            "country_code": "US",
            "telephone_number": "443-708-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Montpelier St Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184852",
            "country_code": "US",
            "telephone_number": "443-387-3819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 Rayner Ave Ofc",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212164612",
            "country_code": "US",
            "telephone_number": "443-708-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 N Fremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212172552",
            "country_code": "US",
            "telephone_number": "443-708-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Holmes Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212172067",
            "country_code": "US",
            "telephone_number": "443-708-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM HEALTHCARE LLC",
        "enumeration_date": "2014-01-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-309-9920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "180702672",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424340400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Wellness Outpatient Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.