Organization Active NPI

Wondrous Heights Counseling LLC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1770145500
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WONDROUS HEIGHTS COUNSELING LLC
Practice address
13-15 E Deer Park Dr.
Ste 101
Gaithersburg, MD 20877
Phone
(240) 360-1726
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Christina Beauzile
Title
Dir of Admin Operations
Phone
(202) 725-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13-15 E Deer Park Dr.
Ste 101
Gaithersburg, MD 20877

Mailing address

5480 Wisconsin Ave Ste 214B
Chevy Chase, MD 20815-3530
Phone (202) 725-8468

Other practice location 1

5480 Wisconsin Ave Ste 214B
Chevy Chase, MD 20815-3530
Phone (202) 725-8468

Other practice location 2

7825 Tuckerman Ln Ste 209
Potomac, MD 20854-3241
Phone (240) 645-8575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922000073 DC Part B Supplier - Clinic/Group Practice 5092190314 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1770145500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 214B",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "202-725-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-15 E DEER PARK DR.",
            "address_2": "STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "240-360-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5480 Wisconsin Ave Ste 214B",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208153530",
            "country_code": "US",
            "telephone_number": "202-725-8468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7825 Tuckerman Ln Ste 209",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543241",
            "country_code": "US",
            "telephone_number": "240-645-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WONDROUS HEIGHTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "BEAUZILE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIR OF ADMIN OPERATIONS",
        "authorized_official_telephone_number": "202-725-8468"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2025; 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.