Active NPI
Fidelis N Sab, CAC II
- Counselor
- Washington, DC
National Provider Identifier
1023377694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CACII200001262
- Practice address
- 3109 Martin Luther King Jr Ave SE
Washington, DC 20032-1573 - Phone
- (202) 800-4433
- NPI assigned
- May 16, 2012
- Last updated
- Mar 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CACII200001262 | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
3109 Martin Luther King Jr Ave SE
Washington, DC 20032-1573
Mailing address
7903 Orion Cir Apt C215
Laurel, MD 20724-3101
Phone (240) 350-9677
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citycare Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba United States
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Washington, DC
- NPI 1396202511
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1083062871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1023377694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7903 ORION CIR APT C215",
"city": "LAUREL",
"state": "MD",
"postal_code": "207243101",
"telephone_number": "240-350-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321573",
"telephone_number": "202-800-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAB",
"first_name": "FIDELIS",
"middle_name": "N",
"credential": "CAC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "CACII200001262",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"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 Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.