Organization Active NPI

Fourroots Wellness and Consulting Group, LLC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1770492555
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOURROOTS WELLNESS AND CONSULTING GROUP, LLC
Practice address
10007 Campus Way S
Upper Marlboro, MD 20774-2103
Phone
(240) 705-3032
NPI assigned
Sep 5, 2026
Organization subpart
Yes
Parent organization
FOURROOTS WELLNESS AND CONSULTING GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Authorized official

Name
Dr. Chioma K Opara, LGPC
Title
Therapist
Phone
(240) 705-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10007 Campus Way S
Upper Marlboro, MD 20774-2103

Mailing address

10007 Campus Way S
Upper Marlboro, MD 20774-2103
Phone (240) 705-3032

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1770492555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742103",
            "telephone_number": "240-705-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742103",
            "telephone_number": "240-705-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURROOTS WELLNESS AND CONSULTING GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOURROOTS WELLNESS AND CONSULTING GROUP, LLC",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "OPARA",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-705-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.