NPIMap

Organization Active NPI

Open Hearts Therapy Services LLC

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1558994517
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN HEARTS THERAPY SERVICES LLC
Practice address
15717 Crabbs Branch Way
Rockville, MD 20855-6650
Phone
(301) 637-2792
Fax
(844) 375-0213
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mrs. Lagail Jeanean Wilson, LCMFTNPI 1356899546
Title
Owner
Phone
(301) 637-2792

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15717 Crabbs Branch Way
Rockville, MD 20855-6650

Mailing address

17604 Phelps Hill LN
Derwood, MD 20855-1358
Phone (913) 963-7133

National Provider Directory

National Provider Directory

Locations

15717 Crabbs Branch Way
Rockville, MD 20855
Phone (301) 637-2792

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1558994517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17604 PHELPS HILL LN",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551358",
            "telephone_number": "913-963-7133",
            "fax_number": "844-375-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556650",
            "telephone_number": "301-637-2792",
            "fax_number": "844-375-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAGAIL",
        "authorized_official_middle_name": "JEANEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-637-2792",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2020; 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.