NPIMap

Organization Active NPI

Beyondvision Behavioral Health Services

  • Mental Health Counselor
  • Capitol Heights, MD
National Provider Identifier
1164229860
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEYONDVISION BEHAVIORAL HEALTH SERVICES
Practice address
121 W Mill Ave
Capitol Heights, MD 20743-2664
Phone
(202) 236-5051
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Ademola Moses OduyeboNPI 1073276655
Title
Owner
Phone
(202) 236-5051

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

121 W Mill Ave
Capitol Heights, MD 20743-2664

Mailing address

121 W Mill Ave
Capitol Heights, MD 20743-2664
Phone (202) 236-5051

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": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1164229860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MILL AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432664",
            "telephone_number": "202-236-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MILL AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432664",
            "telephone_number": "202-236-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDVISION BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "ODUYEBO",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-236-5051"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.