Organization Active NPI

Carevina Behavioral Health LLC

  • Mental Health Counselor
  • Lexington Park, MD
National Provider Identifier
1144183047
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAREVINA BEHAVIORAL HEALTH LLC
Practice address
46940 S Shangri la Dr Ste 100-13
Lexington Park, MD 20653-1037
Phone
(240) 510-4216
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Adebola Ayanda-Wilson
Title
MD
Phone
(240) 510-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

46940 S Shangri la Dr Ste 100-13
Lexington Park, MD 20653-1037

Mailing address

46940 S Shangri la Dr Ste 100-13
Lexington Park, MD 20653-1037
Phone (240) 510-4216

National Provider Directory

National Provider Directory

Locations

46940 S Shangri La Dr
Ste 10013
Lexington Park, MD 20653
Phone (240) 510-4216

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1144183047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46940 S SHANGRI LA DR STE 100-13",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531037",
            "telephone_number": "240-510-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46940 S SHANGRI LA DR STE 100-13",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531037",
            "telephone_number": "240-510-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVINA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "AYANDA-WILSON",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "240-510-4216"
    },
    "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 Lexington Park, MD

Sources for this page

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