Active NPI
Tabe Nki, LGPC
- Addiction (Substance Use Disorder) Counselor
- Washington, DC
National Provider Identifier
1003586736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CACII200001243
- Practice address
- 502 Kennedy St NW
Washington, DC 20011-3136 - Phone
- (202) 313-7283
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CACII200001243 | DC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACII200001243 | DC | Primary |
Addresses
Primary practice location
502 Kennedy St NW
Washington, DC 20011-3136
Mailing address
931 Caslon Way Apt 104
Hyattsville, MD 20785-6005
Phone (240) 510-8595
Other practice location 1
2918 Minnesota Ave SE
Washington, DC 20019-1127
Phone (202) 839-5310
Other practice location 2
931 Caslon Way Apt 104
Hyattsville, MD 20785-6005
Phone (240) 510-8595
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
| License | State | Type | Specialty |
|---|---|---|---|
| CACII200001243 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1003586736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CASLON WAY APT 104",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207856005",
"telephone_number": "240-510-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 KENNEDY ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200113136",
"telephone_number": "202-313-7283"
}
],
"practiceLocations": [
{
"address_1": "2918 Minnesota Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200191127",
"country_code": "US",
"telephone_number": "202-839-5310",
"fax_number": "202-810-9189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "931 Caslon Way Apt 104",
"address_purpose": "LOCATION",
"city": "Hyattsville",
"state": "MD",
"postal_code": "207856005",
"country_code": "US",
"telephone_number": "240-510-8595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKI",
"first_name": "TABE",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "DC",
"license": "CACII200001243",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "CACII200001243",
"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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.