Active NPI
Quietude Healing Collaborative LLC
- Mental Health Counselor
- Riverdale, MD
National Provider Identifier
1124831276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- QUIETUDE HEALING COLLABORATIVE LLC
- Practice address
- 5716 66TH Ave
Riverdale, MD 20737-1712 - Phone
- (571) 290-8578
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Andrea Oliver
- Title
- Clinical Mental Health Therapist
- Phone
- (240) 471-9914
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5716 66TH Ave
Riverdale, MD 20737-1712
Mailing address
5716 66TH Ave
Riverdale, MD 20737-1712
Phone (571) 290-8578
Other names 1
- Quietude Healing Collaborative
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Riverdale, MD
- NPI 1437963709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1124831276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 66TH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371712",
"telephone_number": "571-290-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 66TH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371712",
"telephone_number": "571-290-8578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIETUDE HEALING COLLABORATIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CLINICAL MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "240-471-9914",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quietude Healing Collaborative",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quietude Healing Collaborative",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.