Individual provider Active NPI

Antonietta Corvasce, ANTONIETTA CORVASCE

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1033438114
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14043 Issued in DC
Practice address
1025 Vermont Ave NW
Washington, DC 20005-3516
Phone
(202) 363-6625
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14043 DC Primary

Addresses

Primary practice location

1025 Vermont Ave NW
Washington, DC 20005-3516

Mailing address

2940 Chain Bridge Rd NW
Washington, DC 20016-3408
Phone (202) 363-6625

Other names 1

  • Antonietta Corvasce Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PRC14043DCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1033438114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 CHAIN BRIDGE RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163408",
            "telephone_number": "202-363-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053516",
            "telephone_number": "202-363-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVASCE",
        "first_name": "ANTONIETTA",
        "credential": "ANTONIETTA CORVASCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIETTA",
            "last_name": "CORVASCE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.