FAMILY AND MEDICAL COUNSELING SERVICE INC (NPI# 1548316177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548316177 |
| Entity Type | Organization |
| Organization Name | FAMILY AND MEDICAL COUNSELING SERVICE INC |
| Practice Address |
2041 Martin Luther King Jr Ave Se Suite 303 Washington DC 20020-7024 |
| Practice Telephone | 2028897900 |
| Practice Fax Number | 2026103095 |
| Mailing Telephone | 2028897900 |
| Mailing Fax Number | 2026103095 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DR. FLORA T HAMILTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2028897900 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
DC | Ambulatory Health Care Facilities | |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
DC | Ambulatory Health Care Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
DC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | MEDICARE FQHC | 091847 | 01 |
| DC | 021911500 | 05 | |
| DC | 021910700 | 05 | |
| DC | 098097900 | 05 | |
| DC | 091202100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124363072 | Family and Medical Counseling Service Inc | Clinic/Center | 2041 Martin Luther King Jr Ave Se, Suite 303, Washington, DC 20020 | 2012-12-04 |
| Street Address |
2041 MARTIN LUTHER KING JR AVE SE SUITE 303 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720058928 | Muhammad A Khalid | Podiatrist | 2041 Martin Luther King Jr Ave Se, Suite 103, Washington, DC 20020-7024 | 2006-01-23 |
| 1598379695 | Jason Deramo | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-09-04 |
| 1720609134 | Theresa Juanita Govan | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-04-27 |
| 1821624198 | Debra Renee Harrison | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-19 |
| 1760018139 | Michelle Renee Tolbert | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-18 |
| 1972139384 | Janet A. Bolomope | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-17 |
| 1861023087 | Ebony Mack | Psychologist | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-01-27 |
| 1649822180 | Carole Darice Davis | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-07-15 |
| 1720630437 | Laura E Jeske | Dietitian, Registered | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-07-12 |
| 1508329897 | Arega Workneh Gera | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on FAMILY AND MEDICAL COUNSELING SERVICE INC.
| 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.