Organization Active NPI

Olive Tree 1Care

Doing business as Olive Tree 1 Care of Maryland

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1457101693
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OLIVE TREE 1CARE
Doing business as
Olive Tree 1 Care of Maryland
Practice address
8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061
Phone
(202) 340-1953
NPI assigned
Mar 22, 2024
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Javon Cory OliverNPI 1932395522
Title
Executive Director
Phone
(202) 340-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X
Critical Care Medicine Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0200X

Addresses

Primary practice location

8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061

Mailing address

8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061
Phone (202) 340-1953

Other practice location 1

418 Shepherd St NW
Washington, DC 20011-5944
Phone (202) 340-1953

Other names 1

  • Olive Tree 1 Care of Maryland Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1457101693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 THORNBERRY DR E",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725061",
            "telephone_number": "202-340-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 THORNBERRY DR E",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725061",
            "telephone_number": "202-340-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Shepherd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115944",
            "country_code": "US",
            "telephone_number": "202-340-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE TREE 1CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2025-03-28",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JAVON",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-340-1953"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Tree 1 Care of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

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