NPIMap

Organization Active NPI

Crown Oasis Mental Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1215620190
Registry record updated Jul 18, 2024
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
CROWN OASIS MENTAL WELLNESS LLC
Practice address
5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264
Phone
(240) 636-7404
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Adisatu Adeyemi, LCPC
Title
Ceo
Phone
(240) 636-7405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264

Mailing address

5513 Twin Knolls Rd Ste 213
Columbia, MD 21045-3264

National Provider Directory

National Provider Directory
Tax ID family
Crown Oasis Mental Wellness LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1215620190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 213",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 213",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264",
            "telephone_number": "240-636-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN OASIS MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "ADISATU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-636-7405",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.