Individual provider Active NPI

Tabe Nki, LGPC

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1003586736
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACII200001243 Issued in DC
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

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CACII200001243 DC
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
CACII200001243DCMDCounselor

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.

Verify at the official NPI Registry.