Organization Active NPI

5 Elements Coaching LLC

  • Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1952991986
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
5 ELEMENTS COACHING LLC
Practice address
226 N Potomac St
Hagerstown, MD 21740-3813
Phone
(240) 406-4857
Fax
(240) 202-2476
NPI assigned
Jan 23, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Linnette JohnsonNPI 1871183806
Title
Owner
Phone
(240) 818-3064

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

226 N Potomac St
Hagerstown, MD 21740-3813

Mailing address

19813 Leitersburg Pike # 193
Hagerstown, MD 21742-1445
Phone (240) 406-4857

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other

National Provider Directory

National Provider Directory

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": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1952991986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19813 LEITERSBURG PIKE # 193",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421445",
            "telephone_number": "240-406-4857",
            "fax_number": "240-202-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403813",
            "telephone_number": "240-406-4857",
            "fax_number": "240-202-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 ELEMENTS COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-818-3064"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "226 N Potomac St",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217403813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.