EXECUTIVE WELLNESS LLC (NPI# 1932612835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932612835 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE WELLNESS LLC |
| Practice Address |
4545 42nd St Nw Ste 204 Washington DC 20016-4623 |
| Mailing Address |
9727 Mount Pisgah Rd Apt 613 Silver Spring MD 20903-2024 |
| Practice Telephone | 3012840696 |
| Mailing Telephone | 3215145339 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | MS. KAREN BUEHLER (CEO) |
| Authorized Official Telephone | 3012840696 |
| Authorized Official Credential | LPC, LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PRC14719 | DC | Behavioral Health & Social Service Providers |
| Street Address |
4545 42ND ST NW STE 204 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1093322463 | Brooksi Bottari | Counselor | 1401 New York Ave Ne, Washington, DC 20002-1786 | 2020-09-29 |
| 1558976209 | Full Circle Counseling and Wellness, LLC | Counselor | 24363 Spring Creek Rd Ste K, Washington, IL 61571-9654 | 2020-09-10 |
| 1164036042 | Autonomy Alliance Counseling LLC | Counselor | 100 Alamo Dr, Washington, IL 61571-2901 | 2020-09-08 |
| 1679187058 | Leila Barzegar | Counselor | 1673 Park Rd Nw Apt 505, Washington, DC 20010-2132 | 2020-09-03 |
| 1750995593 | Almeta Mccannon | Counselor | 3005 25th St Ne, Washington, DC 20018-2511 | 2020-08-31 |
| 1912510835 | Novia Patrice Davis | Counselor | 511 Nicholson St Nw, Washington, DC 20011-2017 | 2020-08-29 |
| 1992322689 | Suzannah Dichter | Counselor | 1240 18th St Ne Apt 4, Washington, DC 20002-2080 | 2020-06-29 |
| 1013531136 | Toni Ranette Bell | Counselor | 1934 Capitol Ave Ne, Washington, DC 20002-1729 | 2020-06-04 |
| 1306467055 | Camille M White | Counselor | 6142 Sligo Mill Rd Ne, Washington, DC 20011-1526 | 2020-05-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on EXECUTIVE WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.