Organization Active NPI

Monarch Wellness and Counseling Services

  • Mental Health Counselor
  • Woodstock, MD
National Provider Identifier
1619711017
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MONARCH WELLNESS AND COUNSELING SERVICES
Practice address
10709 Birmingham Way
Woodstock, MD 21163-1403
Phone
(443) 832-9533
NPI assigned
Jun 20, 2024
Organization subpart
Yes
Parent organization
MONARCH WELLNESS AND COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Selena Tetteh, LCSW-CNPI 1235684580
Title
Ceo
Phone
(443) 623-4931

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10709 Birmingham Way
Woodstock, MD 21163-1403

Mailing address

10709 Birmingham Way
Woodstock, MD 21163-1403
Phone (443) 832-9533

Other names 1

  • Wellness by Monarch Doing business as

National Provider Directory

National Provider Directory
Part of
Monarch Wellness and Counseling Services

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1619711017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 BIRMINGHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631403",
            "telephone_number": "443-832-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 BIRMINGHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631403",
            "telephone_number": "443-832-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH WELLNESS AND COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONARCH WELLNESS AND COUNSELING SERVICES",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "TETTEH",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-623-4931",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness by Monarch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.