NPIMap

Organization Active NPI

Institute for Behavioral Change, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Waldorf, MD
National Provider Identifier
1225731235
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
INSTITUTE FOR BEHAVIORAL CHANGE, INC.
Practice address
2670 Crain Hwy Ste 303
Waldorf, MD 20601-2817
Phone
(301) 818-0092
Fax
(301) 818-0110
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Devone Clarice Williams
Title
Coo
Phone
(301) 818-0092

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2670 Crain Hwy Ste 303
Waldorf, MD 20601-2817

Mailing address

2670 Crain Hwy Ste 303
Waldorf, MD 20601-2817
Phone (301) 818-0092

Other names 1

  • IBC Other name

National Provider Directory

National Provider Directory
Tax ID family
Ibc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2670 Crain Hwy
Ste 303
Waldorf, MD 20601

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1225731235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012817",
            "telephone_number": "301-818-0092",
            "fax_number": "301-818-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012817",
            "telephone_number": "301-818-0092",
            "fax_number": "301-818-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEVONE",
        "authorized_official_middle_name": "CLARICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-818-0092"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.