Kaleidoscope Wellness and Education Group LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KALEIDOSCOPE WELLNESS AND EDUCATION GROUP LLC

Practice address

14935 Nighthawk LN
Bowie, MD 20716-1036

Phone

(301) 202-4353

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Kenya Coleman, LCSW

Title

Owner

Phone

(301) 202-4353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1669161782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 NIGHTHAWK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161036",
            "telephone_number": "301-202-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14935 NIGHTHAWK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161036",
            "telephone_number": "301-202-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE WELLNESS AND EDUCATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-202-4353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Madhavi Kakarla, M.D
• Connie Kaldor, LMSW; LGSW
• Kaleidoscope Heart Network
• Maurine Jaytu Kallon
• Osman Kalokoh
• Abdul Aziz Kamagate
• Abibatu Kamara
• Adama Kamara

• Adolescent and Children Mental Health Clinic/Center in Bowie, MD
• Providers in Bowie, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.