Organization Active NPI

Elements of Wellness LLC

  • Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1801565320
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELEMENTS OF WELLNESS LLC
Practice address
8104 Valley LN
Ellicott City, MD 21043-3434
Phone
(443) 717-0131
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Rachel OndrishNPI 1285106674
Title
NP
Phone
(443) 717-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8104 Valley LN
Ellicott City, MD 21043-3434

Mailing address

8104 Valley LN
Ellicott City, MD 21043-3434
Phone (443) 717-0131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220704000191 MD Part B Supplier - Clinic/Group Practice 1456731728 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1801565320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 VALLEY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433434",
            "telephone_number": "443-717-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 VALLEY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433434",
            "telephone_number": "443-717-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OF WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "ONDRISH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "443-717-0131"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.