Active NPI
Olive Tree 1Care
- Mental Health Counselor
- Upper Marlboro, MD
National Provider Identifier
1457101693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- OLIVE TREE 1CARE
- Practice address
- 8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061 - Phone
- (202) 340-1953
- NPI assigned
- Mar 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javon Cory Oliver
- Title
- Executive Director
- Phone
- (202) 340-1953
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Critical Care Medicine Registered Nurse | 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
National Provider Directory
National Provider DirectoryNPI 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.