NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Seneca Valley School Based Wellness Center

  • Student Health Clinic/Center
  • Germantown, MD
National Provider Identifier
1467020859
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Seneca Valley School Based Wellness Center
Practice address
19401 Crystal Rock Dr
Germantown, MD 20874-1593
Phone
(240) 740-6402
NPI assigned
Jun 14, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Diana Azucena Cortez
Title
Management
Phone
(240) 672-6758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

19401 Crystal Rock Dr
Germantown, MD 20874-1593

Mailing address

19401 Crystal Rock Dr
Germantown, MD 20874-1593
Phone (240) 740-6402

Other identifiers 1

IdentifierTypeStateIssuer
123456789MedicaidMD

Other names 1

  • Seneca Valley School Based Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Nextgen Direct

National Provider Directory

National Provider Directory
Tax ID family
Dept of Addiction MNT99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

19401 Crystal Rock Dr
Germantown, MD 20874
Phone (240) 740-6402

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467020859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741593",
            "telephone_number": "240-740-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741593",
            "telephone_number": "240-740-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "AZUCENA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "240-672-6758"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456789",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextgen",
            "affiliation": "N",
            "endpointDescription": "Nextgen",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19401 Crystal Rock Dr",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208741593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Seneca Valley School Based Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

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