Renew and Revitalize Marriage & Family Institute

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEW AND REVITALIZE MARRIAGE & FAMILY INSTITUTE

Practice address

7305 Baltimore Ave Ste 307
College Park, MD 20740-3233

Phone

(240) 391-8030

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Carisa OyebanjoNPI 1376660902

Title

Vice President

Phone

(240) 391-8030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carisa Loretta Oyebanjo I, LCPC

  • Mental Health Counselor
  • Silver Spring, MD
  • NPI 1376660902
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1902586944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE STE 307",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403233",
            "telephone_number": "240-391-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE STE 307",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403233",
            "telephone_number": "240-391-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AND REVITALIZE MARRIAGE & FAMILY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "OYEBANJO",
        "authorized_official_first_name": "CARISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "240-391-8030"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema Raja
• Nan B Ratner, ED.D., SLP
• Steven Lee Rattner, D.D.S.
• Patricia Razo, MS, CCC-SLP
• Kumuda Reddy, M.D
• Rise Therapy LLC
• Breeanne Nicole Roberts, PHARMD, RPH
• Mary Carter Robinson, D.D.S.
• William Wesley Robinson, ATC, PT
• Cizelle Maria Rodrigues, RPT, M.S.

• Mental Health Counselor in College Park, MD
• Providers in College Park, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.