Organization Active NPI

Community Wellness Group

  • Community/Behavioral Health Agency
  • Capitol Heights, MD
National Provider Identifier
1639918972
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY WELLNESS GROUP
Practice address
6823 Jade CT
Capitol Heights, MD 20743-1873
Phone
(202) 391-1307
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Shawnte Jefferies, LCPC, LPCNPI 1417466731
Title
Professional Counselor/ Therapist
Phone
(202) 391-1307

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6823 Jade CT
Capitol Heights, MD 20743-1873

Mailing address

6823 Jade CT
Capitol Heights, MD 20743-1873
Phone (202) 391-1307

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.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1639918972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 JADE CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431873",
            "telephone_number": "202-391-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 JADE CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431873",
            "telephone_number": "202-391-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/ THERAPIST",
        "authorized_official_telephone_number": "202-391-1307",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.