NPIMap

Organization Active NPI

Horizon Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Odenton, MD
National Provider Identifier
1669123360
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HORIZON WELLNESS LLC
Doing business as
Horizon Wellness LLC
Practice address
1215 Annapolis Rd Ste 101
Odenton, MD 21113-1334
Phone
(410) 220-4449
Fax
(301) 576-5715
NPI assigned
Jan 13, 2022
Organization subpart
Yes
Parent organization
HORIZON HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Nkiru Smith, NPNPI 1205332814
Title
Owner
Phone
(301) 383-6834

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1215 Annapolis Rd Ste 101
Odenton, MD 21113-1334

Mailing address

1215 Annapolis Rd Ste 101
Odenton, MD 21113-1334
Phone (410) 220-4449

Other names 1

  • Horizon Wellness LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230428001590 MD Part B Supplier - Clinic/Group Practice 0143644534 Receives reassigned benefits from 1 practitioner
Practice locations: Odenton, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Horizon Wellness Clinic5 organizations share this tax ID, including this one
Part of
Horizon Wellness Clinic

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1669123360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ANNAPOLIS RD STE 101",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131334",
            "telephone_number": "410-220-4449",
            "fax_number": "301-576-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ANNAPOLIS RD STE 101",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131334",
            "telephone_number": "410-220-4449",
            "fax_number": "301-576-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON HEALTH SERVICES LLC",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NKIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-383-6834",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.