Organization Active NPI

Quietude Healing Collaborative LLC

  • Mental Health Counselor
  • Riverdale, MD
National Provider Identifier
1124831276
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Ms. Andrea OliverNPI 1437963709
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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": "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.

Verify at the official NPI Registry.