Organization Active NPI

Olive Tree 1 Care

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1962278069
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OLIVE TREE 1 CARE
Practice address
418 Shepherd St NW
Washington, DC 20011-5944
Phone
(202) 340-1953
NPI assigned
Nov 29, 2023
Organization subpart
Yes
Parent organization
OLIVE TREE 1 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Javon Cory Oliver, LPCNPI 1932395522
Title
Ceo
Phone
(202) 340-1953

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X

Addresses

Primary practice location

418 Shepherd St NW
Washington, DC 20011-5944

Mailing address

8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061
Phone (202) 340-1953

Other practice location 1

8418 Thornberry Dr E
Upper Marlboro, MD 20772-5061
Phone (202) 340-1953

Other identifiers 1

IdentifierTypeStateIssuer
021983047MedicaidDC

Other names 2

  • The Olive Tree 1 Care Doing business as
  • Olive Tree 1 Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Olive Tree 1 Care2 organizations share this tax ID, including this one
Part of
Olive Tree 1 Care

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1962278069",
    "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": [
        {
            "address_1": "8418 Thornberry Dr E",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207725061",
            "country_code": "US",
            "telephone_number": "202-340-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE TREE 1 CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVE TREE 1 CARE",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JAVON",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-340-1953",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021983047",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Olive Tree 1 Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olive Tree 1 Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.