Active NPI
Hubert Fomunyam
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1144130345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 350 Eastern Ave NE
Washington, DC 20019-2833 - Phone
- (202) 248-1356
- Fax
- (202) 978-5970
- NPI assigned
- Sep 9, 2026
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | DC | Primary |
Addresses
Primary practice location
350 Eastern Ave NE
Washington, DC 20019-2833
Mailing address
10419 Stone Pine Ave
Waldorf, MD 20603-5797
Phone (301) 818-3770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1144130345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10419 STONE PINE AVE",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035797",
"telephone_number": "301-818-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 EASTERN AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192833",
"telephone_number": "202-248-1356",
"fax_number": "202-978-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOMUNYAM",
"first_name": "HUBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "DC",
"license": null,
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.