Active NPI
Olive Tree 1 Care
- Mental Health Counselor
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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 CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javon Cory Oliver, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Community Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021983047 | Medicaid | DC |
Other names 2
- The Olive Tree 1 Care
- Olive Tree 1 Care
National Provider Directory
National Provider Directory- Tax ID family
- Olive Tree 1 Care
- 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.
-
- Professional Counselor
- Upper Marlboro, MD
- NPI 1104676352
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Washington, DC
- NPI 1932395522
-
- Mental Health Counselor
- Washington, DC
- NPI 1639932411
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.