Organization Active NPI

Enrichment Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
National Provider Identifier
1760905434
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC7857 Issued in MD
Legal business name
ENRICHMENT WELLNESS, LLC
Practice address
839 Quince Orchard Blvd Ste G
Gaithersburg, MD 20878-1614
Phone
(202) 701-7738
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Olga Rich, LCPC
Title
Clinical Director, Therapist
Phone
(202) 701-7738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC7857 MD Primary

Addresses

Primary practice location

839 Quince Orchard Blvd Ste G
Gaithersburg, MD 20878-1614

Mailing address

839 Quince Orchard Blvd Ste G
Gaithersburg, MD 20878-1614
Phone (202) 701-7738

Other identifiers 1

IdentifierTypeStateIssuer
14031247OtherMDCARE FIRST BLUE CROSS BLUESHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1760905434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 QUINCE ORCHARD BLVD STE G",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781614",
            "telephone_number": "202-701-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 QUINCE ORCHARD BLVD STE G",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781614",
            "telephone_number": "202-701-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "202-701-7738",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC7857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLUESHIELD",
            "identifier": "14031247",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.