NPIMap

Organization Active NPI

Otr Wellness

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1235937848
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OTR WELLNESS
Practice address
1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031
Phone
(202) 506-3240
Fax
(202) 506-1601
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Jennifer Jill Fuentes, LPC CAGCS CCTPNPI 1205076304
Title
Co-President and Treasurer
Phone
(202) 506-3240

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

1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031

Mailing address

1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031
Phone (202) 506-3240

Other practice location 1

1316 King St
Alexandria, VA 22314-2994
Phone (202) 506-3240

National Provider Directory

National Provider Directory

Locations

1316 King St
Alexandria, VA 22314
Phone (202) 506-3240

Practitioners & affiliated clinicians

Practitioners 10

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1235937848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-506-3240",
            "fax_number": "202-506-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-506-3240",
            "fax_number": "202-506-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 King St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142994",
            "country_code": "US",
            "telephone_number": "202-506-3240",
            "fax_number": "202-506-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OTR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "CO-PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "202-506-3240",
        "authorized_official_credential": "LPC CAGCS CCTP"
    },
    "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 Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.