Organization Active NPI

Elite Self Development

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1861323586
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE SELF DEVELOPMENT
Practice address
3680 Leonardtown Rd
Waldorf, MD 20601-3696
Phone
(410) 846-2008
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Gwenae Carter
Title
Owner
Phone
(410) 846-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3680 Leonardtown Rd
Waldorf, MD 20601-3696

Mailing address

145 W Ostend St Ste 600
Baltimore, MD 21230-3774
Phone (410) 846-2008

National Provider Directory

National Provider Directory
Tax ID family
Elite Self Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3680 Leonardtown Rd
Waldorf, MD 20601
Phone (410) 846-2008

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1861323586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303774",
            "telephone_number": "410-846-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013696",
            "telephone_number": "410-846-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SELF DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GWENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-846-2008"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.