Organization Active NPI

Moral Peak Mental Health & Wellness, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severn, MD
National Provider Identifier
1265175293
Registry record updated Apr 18, 2022
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
MORAL PEAK MENTAL HEALTH & WELLNESS, LLC.
Practice address
1417 Winter Pine TRL
Severn, MD 21144-1506
Phone
(301) 675-6471
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Kassandra A DickensNPI 1871890301
Title
Provider
Phone
(301) 675-6471

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1417 Winter Pine TRL
Severn, MD 21144-1506

Mailing address

1417 Winter Pine TRL
Severn, MD 21144-1506
Phone (301) 675-6471

National Provider Directory

National Provider Directory
Tax ID family
Moral Peak Mental Health Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1265175293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 WINTER PINE TRL",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441506",
            "telephone_number": "301-675-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 WINTER PINE TRL",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441506",
            "telephone_number": "301-675-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAL PEAK MENTAL HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-675-6471"
    },
    "taxonomies": [
        {
            "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 Severn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.