Organization Active NPI

The Orenda Center for Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1467002543
Registry record updated Jan 11, 2024
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
THE ORENDA CENTER FOR WELLNESS LLC
Practice address
7540 N Market St Unit a
Frederick, MD 21701-4307
Phone
(240) 831-4873
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Kelsea Kephart
Title
Executive Director
Phone
(013) 573-0686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7540 N Market St Unit a
Frederick, MD 21701-4307

Mailing address

17645 Harbaugh Valley Rd
Sabillasville, MD 21780-9616

Other practice location 1

100 Tuscanny Dr Unit B1
Frederick, MD 21702-5958
Phone (240) 831-4873

Other practice location 2

600 W Patrick St
Frederick, MD 21701-4028
Phone (240) 478-9839

Other identifiers 1

IdentifierTypeStateIssuer
201110265MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Orenda Center for Wellness6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7540 N Market St
Unit A
Frederick, MD 21701
Phone (240) 831-4873

100 Tuscanny Dr
Unit B1
Frederick, MD 21702
Phone (240) 831-4873

Practitioners & affiliated clinicians

Practitioners 2

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1467002543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 HARBAUGH VALLEY RD",
            "city": "SABILLASVILLE",
            "state": "MD",
            "postal_code": "217809616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 N MARKET ST UNIT A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014307",
            "telephone_number": "240-831-4873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tuscanny Dr Unit B1",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217025958",
            "country_code": "US",
            "telephone_number": "240-831-4873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014028",
            "country_code": "US",
            "telephone_number": "240-478-9839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ORENDA CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "KELSEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "013-573-0686"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201110265",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.