NPIMap

Organization Active NPI

Nwabu Healing Services

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1609759877
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NWABU HEALING SERVICES
Practice address
15523 Glastonbury Way
Upper Marlboro, MD 20774-8033
Phone
(703) 599-7323
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Nwabu Phendulu, LCPCNPI 1770208415
Title
Counselor
Phone
(703) 599-7323

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

15523 Glastonbury Way
Upper Marlboro, MD 20774-8033

Mailing address

15523 Glastonbury Way
Upper Marlboro, MD 20774-8033
Phone (703) 599-7323

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": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1609759877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15523 GLASTONBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748033",
            "telephone_number": "703-599-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15523 GLASTONBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748033",
            "telephone_number": "703-599-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWABU HEALING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "PHENDULU",
        "authorized_official_first_name": "NWABU",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "703-599-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.