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OLIVE TREE 1 CARE OF MARYLAND
NPI 1104676352
Counselor - Professional in Upper Marlboro, MD

Active since March 22, 2024
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772(202) 340-1953 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olive Tree 1 Care Of Maryland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE TREE 1 CARE OF MARYLAND (NPI 1104676352) is a healthcare organization registered as a professional in Upper Marlboro, Maryland and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Washington and lists Javon Cory Oliver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104676352
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameOLIVE TREE 1 CARE OF MARYLAND
Location Address8418 THORNBERRY DR EUpper Marlboro, MD 20772-5061
Mailing Address8418 Thornberry Dr EUpper Marlboro, MD 20772-5061 · (202) 340-1953
Phone(202) 340-1953
Organization SubpartYesParent: Olive Tree 1 Care
Authorized OfficialJavon Cory OliverCeo · (202) 340-1953
Enumeration DateMarch 22, 2024
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1104676352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
8418 THORNBERRY DR E, Upper Marlboro, MD 20772
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Secondary Practice Location 1

Location 1418 Shepherd St NWWashington, DC 20011-5944 · Phone (202) 340-1953

Other Identifiers 2

Medicaid021983047DC
Medicaid642010900MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVE TREE 1CARE
Counselor (Mental Health)
8418 THORNBERRY DR E
UPPER MARLBORO, MD 20772
Prince George's County (202) 340-1953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Tree 1 Care Of Maryland's NPI number?

The NPI number for Olive Tree 1 Care Of Maryland is 1104676352. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Olive Tree 1 Care Of Maryland located?

Olive Tree 1 Care Of Maryland is located at 8418 Thornberry Dr E, Upper Marlboro, MD 20772. The listed phone number is (202) 340-1953.

What is Olive Tree 1 Care Of Maryland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Olive Tree 1 Care Of Maryland was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.