Organization Active NPI

Harvesting Hope Youth and Families Services

Doing business as Harvesting Hope Youth and Family Wellness, Inc

  • Mental Health Occupational Therapist
  • Cambridge, MD
National Provider Identifier
1841815560
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
HARVESTING HOPE YOUTH AND FAMILIES SERVICES
Doing business as
Harvesting Hope Youth and Family Wellness, Inc
Practice address
204 Cedar St Ste 102
Cambridge, MD 21613-2395
Phone
(301) 728-3857
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HARVESTING HOPE YOUTH AND FAMILIES SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Omeaka Jackson, LCPCNPI 1528329117
Title
Ceo/Clinical Director
Phone
(301) 728-3857

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
Mental Health Occupational Therapist 225XM0800X NU Primary

Addresses

Primary practice location

204 Cedar St Ste 102
Cambridge, MD 21613-2395

Mailing address

204 Cedar St Ste 102
Cambridge, MD 21613-2395
Phone (301) 728-3857

Other identifiers 1

IdentifierTypeStateIssuer
072383500MedicaidMD

Other names 1

  • Harvesting Hope Youth and Family Wellness, Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Omeaka@harvestinghopeinc.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Harvesting Hope Youth and Families Services2 organizations share this tax ID, including this one
Part of
Harvesting Hope Youth and Families Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1841815560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CEDAR ST STE 102",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132395",
            "telephone_number": "301-728-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CEDAR ST STE 102",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132395",
            "telephone_number": "301-728-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVESTING HOPE YOUTH AND FAMILIES SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARVESTING HOPE YOUTH AND FAMILIES SERVICES, INC",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OMEAKA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-728-3857",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072383500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Omeaka@harvestinghopeinc.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 Cedar St Ste 102",
            "city": "Cambridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216132395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harvesting Hope Youth and Family Wellness, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

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