Individual provider Active NPI

Pauline Imbrigato, LCSW

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1003083619
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC301654 Issued in DC
Practice address
1012 14TH St NW
Suite 1025
Washington, DC 20005-3406
Phone
(202) 737-6000
Fax
(202) 737-2332
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC301654 DC Primary

Addresses

Primary practice location

1012 14TH St NW
Suite 1025
Washington, DC 20005-3406

Mailing address

1012 14TH St NW
Suite 1025
Washington, DC 20005
Phone (202) 737-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC301654DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Healthcare & Dignostic Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1003083619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW",
            "address_2": "SUITE 1025",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20005",
            "telephone_number": "202-737-6000",
            "fax_number": "202-737-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW",
            "address_2": "SUITE 1025",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053406",
            "telephone_number": "202-737-6000",
            "fax_number": "202-737-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBRIGATO",
        "first_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LC301654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.