Javon Cory Oliver, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRC14310 Issued in DC

Practice address

418 Shepherd St NW
Washington, DC 20011-5944

Phone

(202) 340-1953

NPI assigned

Sep 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olive Tree 1 Care

  • Mental Health Counselor
  • Washington, DC
  • NPI 1962278069
  NPD Authorized official
• Olive Tree 1 Care of Maryland

  • Professional Counselor
  • Upper Marlboro, MD
  • NPI 1104676352

  Mental Health

  NPD Authorized official
• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1932395522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 THORNBERRY DR E",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725061",
            "telephone_number": "202-340-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHEPHERD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115944",
            "telephone_number": "202-340-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JAVON",
        "middle_name": "CORY",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14310",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2445",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ann Oliver, MD
• Deanna Jo Oliver, PA-C
• Deborah Oliver
• Gay-Nayle Oliver
• James Oliver, M.D.
• Jewel Oliver
• Kia Oliver, LICSW
• Sheila Oliver
• Wesley Oliver
• Giovana Olivera-Caceres

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.