Organization Active NPI

Trivanta Health LLC

  • Mental Health Counselor
  • Lanham, MD
National Provider Identifier
1578490918
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRIVANTA HEALTH LLC
Practice address
4200 Parliament PL Ste 430a-53
Lanham, MD 20706-1803
Phone
(202) 643-0406
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Mark Young, MBA
Title
Chief Operating Officer
Phone
(305) 785-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4200 Parliament PL Ste 430a-53
Lanham, MD 20706-1803

Mailing address

10611 Eastland Cir
Upper Marlboro, MD 20772-8507
Phone (202) 643-0406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1578490918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 EASTLAND CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728507",
            "telephone_number": "202-643-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARLIAMENT PL STE 430A-53",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061803",
            "telephone_number": "202-643-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVANTA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-785-8545",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.