Emerge 2 Wellness Support Services

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

EMERGE 2 WELLNESS SUPPORT SERVICES

Practice address

6340 Security Blvd Ste 100B522
Gwynn Oak, MD 21207-5173

Phone

(443) 242-4908

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Katrina S. Wilson, MSW. CCBT

Title

Ceo/ Life Skills Facilitator

Phone

(443) 242-4908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1760295976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100B522",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "443-242-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100B522",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "443-242-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE 2 WELLNESS SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/ LIFE SKILLS FACILITATOR",
        "authorized_official_telephone_number": "443-242-4908",
        "authorized_official_credential": "MSW. CCBT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.