Organization Active NPI

Watershed Practice, LLC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1487591251
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WATERSHED PRACTICE, LLC
Practice address
4405 E West Hwy Ste 411
Bethesda, MD 20814-4535
Phone
(717) 478-8334
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Calleen Trevenen, LCPCNPI 1073148797
Title
Partner
Phone
(717) 478-8334

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

4405 E West Hwy Ste 411
Bethesda, MD 20814-4535

Mailing address

2325 N Calvert St
Baltimore, MD 21218-5202
Phone (717) 478-8334

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": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1487591251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185202",
            "telephone_number": "717-478-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY STE 411",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144535",
            "telephone_number": "717-478-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "TREVENEN",
        "authorized_official_first_name": "CALLEEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-478-8334",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.