NPIMap

Organization Active NPI

Umbrella Therapeutic Services, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1003324864
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
121217-383 Issued in DC
Legal business name
UMBRELLA THERAPEUTIC SERVICES, INC.
Practice address
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone
(202) 441-7966
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mr. James Wesley Jones, M.S. MARKETING, DBA
Title
Ceo
Phone
(202) 878-6626

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 121217-383 DC
Community/Behavioral Health Agency 251S00000X 121217-383 DC Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3300 Pennsylvania Ave SE
Washington, DC 20020-2408

Mailing address

3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone (202) 441-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530000655 DC Part B Supplier - Clinic/Group Practice 2163787839 Receives reassigned benefits from 16 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

4645 Nannie Helen Burroughs Ave NE
#306
Washington, DC 20019
Phone (202) 878-6626

4645 Nannie Helen Burroughs Ave NE
Ste 306
Washington, DC 20019
Phone (240) 389-0583

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1003324864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202408",
            "telephone_number": "202-441-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202408",
            "telephone_number": "202-441-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-878-6626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. MARKETING, DBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "121217-383",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "121217-383",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.