Active NPI
Kwasi Bonsu Owusu-Agyemang
- Professional Counselor
- Washington, DC
National Provider Identifier
1023849379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGPC200001519
- Practice address
- 3301 Wheeler Rd SE
Washington, DC 20032-4129 - Phone
- (571) 275-2638
- NPI assigned
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGPC200001519 | DC | Primary |
Addresses
Primary practice location
3301 Wheeler Rd SE
Washington, DC 20032-4129
Mailing address
3787 Mary Evelyn Way
Alexandria, VA 22309-8230
Phone (571) 275-2638
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 |
|---|---|---|---|
| LGPC200001519 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1023849379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 MARY EVELYN WAY",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223098230",
"telephone_number": "571-275-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WHEELER RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324129",
"telephone_number": "571-275-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWUSU-AGYEMANG",
"first_name": "KWASI",
"middle_name": "BONSU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "DC",
"license": "LGPC200001519",
"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 Aug 9, 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.