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HEARTWOOD PROGRAM
NPI 1467962605
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bethesda, MD

Active since October 02, 2017CLIA 21D2256838 · Waiver
4350 EAST WEST HWY STE 1025, BETHESDA, MD 20814(301) 970-4099(301) 970-4098 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 14, 2023, Jan 22, 2020, Sep 5, 2019 and 2 more (5 updates tracked since 2018).

About Heartwood Program NPPES

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

HEARTWOOD PROGRAM (NPI 1467962605) is a healthcare organization registered as a mental health (including community mental health center) in Bethesda, Maryland and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Kurt Koches, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467962605
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTHE HEARTWOOD PROGRAM, LLC
Location Address4350 EAST WEST HWY STE 1025Bethesda, MD 20814-4520
Mailing Address4350 East West Hwy Ste 201Bethesda, MD 20814-4492 · (301) 970-4099 · Fax (301) 970-4098
Phone(301) 970-4099
Fax(301) 970-4098
Organization SubpartYesParent: Healthy Foundations Group, Llc
Authorized OfficialKurt KochesExecutive Director · (301) 970-4011
Enumeration DateOctober 2, 2017
Last NPPES UpdateMarch 14, 20235 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1467962605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4350 EAST WEST HWY STE 1025, Bethesda, MD 20814
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Other Names 1

Doing Business AsHeartwood Program

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2256838

Heartwood Program, LLC, The · Bethesda, MD
Active · expires Mar 28, 2028
CLIA Number21D2256838
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDavid I. Driver
Laboratory Phone(301) 970-4010
Laboratory LocationHeartwood Program, LLC, The4350 East West Hwy, Suite 201, Bethesda, MD 20814
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 The Heartwood Program, LLC's NPI number?

The NPI number for The Heartwood Program, LLC is 1467962605. It was assigned to this organization in the NPPES registry on October 2, 2017. The provider is doing business as Heartwood Program.

Where is The Heartwood Program, LLC located?

The Heartwood Program, LLC is located at 4350 East West Hwy Ste 1025, Bethesda, MD 20814. The listed phone number is (301) 970-4099.

What is The Heartwood Program, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does The Heartwood Program, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2256838) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Heartwood Program, LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.