Organization Active NPI

Wellness Restoration Counseling PLLC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1609626365
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLNESS RESTORATION COUNSELING PLLC
Practice address
5420 Lynx LN Unit 239
Columbia, MD 21044-2487
Phone
(202) 925-1173
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Mrs. Marylin Marquez Beckley, LPC, NCC, CCTP
Title
Clinical Psychotherapist
Phone
(202) 427-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5420 Lynx LN Unit 239
Columbia, MD 21044-2487

Mailing address

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (202) 427-3996

Other names 1

  • Marylin M. Beckley Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Wellness Restoration Counseling PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1609626365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-427-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 LYNX LN UNIT 239",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442487",
            "telephone_number": "202-925-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BECKLEY",
        "authorized_official_first_name": "MARYLIN",
        "authorized_official_middle_name": "MARQUEZ",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-427-3996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marylin M. Beckley",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.