Active NPI
Dimensions
- Mental Health Counselor
- Chevy Chase, MD
National Provider Identifier
1104975903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ID#20569XXX-117275
- Legal business name
- DIMENSIONS
- Practice address
- 5480 Wisconsin Ave
215B
Chevy Chase, MD 20815-3530 - Phone
- (877) 367-8479
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Lee Jr., MSW
- Title
- Ceo of Clinical Management
- Phone
- (202) 528-7139
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ID#20569XXX-117275 | DC | Primary |
| Case Management Agency | 251B00000X | ID#20569-XXX117275 | DC |
Addresses
Primary practice location
5480 Wisconsin Ave
215B
Chevy Chase, MD 20815-3530
Mailing address
2 Irving CT
Stafford, VA 22556-6567
Phone (540) 657-8484
Other names 1
- Psychotherapy & Polytrauma center
National Provider Directory
National Provider DirectoryLocations
5480 Wisconsin Ave
Ste 215B
Chevy Chase, MD 20815
Phone (301) 718-8075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104975903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 IRVING CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225566567",
"telephone_number": "540-657-8484",
"fax_number": "540-657-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "215B",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "877-367-8479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMENSIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO OF CLINICAL MANAGEMENT",
"authorized_official_telephone_number": "202-528-7139",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "ID#20569XXX-117275",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "DC",
"license": "ID#20569-XXX117275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Psychotherapy & Polytrauma center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.