NPIMap

Organization Active NPI

Elevation & Enrichment Therapeutic Services

Doing business as Elevation & Enrichment Services

  • Community/Behavioral Health Agency
  • District Heights, MD
National Provider Identifier
1982023586
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19378 Issued in MD
Legal business name
ELEVATION & ENRICHMENT THERAPEUTIC SERVICES
Doing business as
Elevation & Enrichment Services
Practice address
3900 Penn Belt PL
District Heights, MD 20747-4734
Phone
(301) 276-5312
NPI assigned
Apr 10, 2014
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mr. Darrell Lewis Coleman, LCSW-CNPI 1083989370
Title
Executive Director
Phone
(301) 276-5312

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Community/Behavioral Health Agency 251S00000X 19378 MD Primary

Addresses

Primary practice location

3900 Penn Belt PL
District Heights, MD 20747-4734

Mailing address

3900 Penn Belt PL
District Heights, MD 20747-4734
Phone (301) 276-5312

Other names 1

  • Elevation & Enrichment Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elevation Enrichment Therapeutic Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3900 Penn Belt Pl
District Heights, MD 20747
Phone (301) 276-5312

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1982023586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 PENN BELT PL",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207474734",
            "telephone_number": "301-276-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PENN BELT PL",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207474734",
            "telephone_number": "301-276-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION & ENRICHMENT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-276-5312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "19378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation & Enrichment Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elevation & Enrichment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.