NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Seneca Valley High School School Based Wellness Center

  • Student Health Clinic/Center
  • Germantown, MD
National Provider Identifier
1821621707
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Seneca Valley High School School Based Wellness Center
Practice address
19401 Crystal Rock Dr
Germantown, MD 20874-1593
Phone
(301) 353-8010
NPI assigned
Feb 19, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Ms. Sommer Martine Barnes
Title
Ehr Practice Manager
Phone
(240) 777-1643

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

19401 Crystal Rock Dr
Germantown, MD 20874-1593

Mailing address

19401 Crystal Rock Dr
Germantown, MD 20874-1593
Phone (301) 353-8010

Other names 1

  • Seneca Valley High School School Based Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.montgomerycountymd.gov Other Montgomery County Maryland Government

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2232054Seneca Valley High School- SBWC19401 Crystal Rock Dr, Germantown, MD 20874Provider-performed microscopyAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mtgo County Health Dept99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

19401 Crystal Rock Dr
Germantown, MD 20874
Phone (240) 740-6402

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1821621707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741593",
            "telephone_number": "301-353-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741593",
            "telephone_number": "301-353-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SOMMER",
        "authorized_official_middle_name": "MARTINE",
        "authorized_official_title_or_position": "EHR PRACTICE MANAGER",
        "authorized_official_telephone_number": "240-777-1643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.montgomerycountymd.gov",
            "affiliation": "Y",
            "endpointDescription": "www.montgomerycountymd.gov",
            "affiliationName": "Montgomery County Maryland Government",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.montgomerycountymd.gov",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.montgomerycountymd.gov",
            "address_1": "12401 DALEWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209064114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Seneca Valley High School School Based Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.