Eclectic Therapy Collective, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ECLECTIC THERAPY COLLECTIVE, LLC

Practice address

6012 Walton Rd
Bethesda, MD 20817-2519

Phone

(240) 444-0843

NPI assigned

Jan 23, 2023

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis Bowen, LCPCNPI 1164052346

Title

Owner/ Therapist

Phone

(240) 444-0843

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Alexis L. Bowen, LGPC, NCC

  • Mental Health Counselor
  • Millersville, MD
  • NPI 1164052346
  NPD Authorized official
• Lauren Gregory, LCPC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1932792694
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1568177657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 WALTON RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172519",
            "telephone_number": "240-444-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 WALTON RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172519",
            "telephone_number": "240-444-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC THERAPY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "240-444-0843",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilia Echeveste, MD
• Wendy Eckenrode
• Lauren Marie Eckhardt, DO
• Nathaniel Scott Eckland, PH.D.
• Barbara R. Eckman, LCSW
• Ruth Edelman, PHD
• Richard Nathen Edelson, MD
• Eden Health Medical of Maryland PC
• Henry Spencer Eden, MD
• Lauren Rachel Eden

• Professional Counselor in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.