Organization Active NPI

Sheryl Renee Enterprises LLC

Doing business as Omni Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
National Provider Identifier
1477347102
Registry record updated Jun 20, 2025
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
SHERYL RENEE ENTERPRISES LLC
Doing business as
Omni Wellness
Practice address
11140 Rockville Pike Ste 100-585
Rockville, MD 20852-3106
Phone
(240) 499-6111
NPI assigned
Apr 7, 2025
Organization subpart
Yes
Parent organization
SHERYL RENEE ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. Sheryl Rene Hicks, PHD, LCPCNPI 1669007548
Title
Owner
Phone
(301) 938-7310

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

11140 Rockville Pike Ste 100-585
Rockville, MD 20852-3106

Mailing address

11140 Rockville Pike Ste 100-585
Rockville, MD 20852-3106
Phone (301) 938-7310

Other names 1

  • Omni Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250806001913 DC Part B Supplier - Clinic/Group Practice 1759893233 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory
Part of
Rockville

Locations

11140 Rockville Pike
Ste 100585
Rockville, MD 20852
Phone (240) 449-6111

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1477347102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 100-585",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "301-938-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 100-585",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-499-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL RENEE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHERYL RENEE ENTERPRISES LLC",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-938-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC"
    },
    "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": [
        {
            "organization_name": "Omni Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omni Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.