Executive Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14719 Issued in DC

Legal business name

EXECUTIVE WELLNESS LLC

Practice address

4545 42ND St NW Ste 204
Washington, DC 20016-4623

Phone

(301) 284-0696

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Karen Buehler, LPC, LCPC

Title

Ceo

Phone

(301) 284-0696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1932612835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 MOUNT PISGAH RD APT 613",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032024",
            "telephone_number": "321-514-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 42ND ST NW STE 204",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164623",
            "telephone_number": "301-284-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-284-0696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.