Active NPI
Walter Mitchell Jr.
- Professional Counselor
- Washington, DC
National Provider Identifier
1104372226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC288
- Practice address
- 1905 E St SE # 14
Washington, DC 20003-2593 - Phone
- (202) 673-9124
- NPI assigned
- Aug 29, 2016
- 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 | PRC288 | DC | Primary |
Addresses
Primary practice location
1905 E St SE # 14
Washington, DC 20003-2593
Mailing address
1905 E St SE # 14
Washington, DC 20003-2593
Phone (202) 673-9124
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 |
|---|---|---|---|
| PRC288 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1104372226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E ST SE # 14",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032593",
"telephone_number": "202-673-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 E ST SE # 14",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032593",
"telephone_number": "202-673-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "WALTER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-29",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC288",
"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 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.