NPIMap

Organization Active NPI

Family and Medical Counseling Service Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1124363072
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
H80CS24175 Issued in DC
Legal business name
FAMILY AND MEDICAL COUNSELING SERVICE INC
Practice address
2041 Martin Luther King Jr Ave SE
Suite 303
Washington, DC 20020
Phone
(202) 889-7900
Fax
(202) 610-3095
NPI assigned
Dec 4, 2012
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Flora Terrell Hamilton, LICSWNPI 1679796437
Title
Ceo
Phone
(202) 889-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Federally Qualified Health Center (FQHC) 261QF0400X H80CS24175 DC Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2041 Martin Luther King Jr Ave SE
Suite 303
Washington, DC 20020

Mailing address

2041 Martin Luther King Jr Ave SE
Suite 303
Washington, DC 20020-7024
Phone (202) 889-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130124000061 DC Part A Provider - Federally Qualified Health Center (FQHC) 1052436367 Practice locations: Washington, DC
O20170201000239 MD Part A Provider - Federally Qualified Health Center (FQHC) 1052436367 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Capitol Heights, MD

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1124363072. Details of each certification follow.

Federally qualified health center certification: CCN 091847

Legal name
FAMILY AND MEDICAL COUNSELING SERVICE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2013
Last certification
Jan 24, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 20, 1975 in DC
Enrollment address
2041 Martin Luther King Jr Ave, Ste 303
Washington, DC 20020-7036

Federally qualified health center certification: CCN 211910

Legal name
FAMILY AND MEDICAL COUNSELING SERVICE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 8, 2017
Last certification
Feb 8, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 16, 1979 in DC
Enrollment address
5936 Martin Luther King Jr Hwy
Capitol Heights, MD 20743-1757

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2041 Martin Luther King Jr Ave SE
Fl 3
Washington, DC 20020
Phone (202) 889-3777

2041 Martin Luther King Jr Ave SE
Ste 303
Washington, DC 20020
Phone 2028897900215

5936 Martin Luther King Jr Hwy
Seat Pleasant, MD 20743
Phone (202) 889-7901

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Flora Hamilton Individual Corporate DirectorChief Executive Officer May 1, 1981
W-2 Managing EmployeeCeo May 1, 1981
Corporate DirectorCeo May 1, 1981
W-2 Managing EmployeeCeo Jul 19, 2016
Angela Wood Individual W-2 Managing EmployeeCoo Jul 19, 2016

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1124363072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-889-7900",
            "fax_number": "202-610-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-889-7900",
            "fax_number": "202-610-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND MEDICAL COUNSELING SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-889-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "DC",
            "license": "H80CS24175",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.