Anacostia Center for Psychotherapy & Counseling, Inc.

Key facts

NPI

1063646347

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

License

PRC 416 (DC)

Legal business name

ANACOSTIA CENTER FOR PSYCHOTHERAPY & COUNSELING, INC.

Practice address

2025 Martin Luther King Jr Ave SE
Washington, DC 20020-7023

Phone

(202) 561-1423

Fax

(202) 561-1481

NPI assigned

May 14, 2009

Organization subpart

No

Authorized official

Name

Ms. Joanne Maria Bragg, LSW,LPC NPI 1922570571

Title

Ceo/Clinical Director

Phone

(202) 561-1423

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Maria Bragg, PRC 416 LPC Mental Health Counselor · Washington, DC · NPI 1922570571
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2009.

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1063646347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207023",
            "telephone_number": "202-561-1423",
            "fax_number": "202-561-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207023",
            "telephone_number": "202-561-1423",
            "fax_number": "202-561-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACOSTIA CENTER FOR PSYCHOTHERAPY & COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "202-561-1423",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW,LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "PRC 416",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "33003023A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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