Individual provider Active NPI

Irene Mendoza, M.S.,LPC, NCC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1144560509
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14229 Issued in DC
Practice address
650 Pennsylvania Ave SE
Suite 240
Washington, DC 20003-4318
Phone
(202) 544-5440
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14229 DC Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE
Suite 240
Washington, DC 20003-4318

Mailing address

650 Pennsylvania Ave SE
Suite 240
Washington, DC 20003-4318
Phone (202) 544-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003945 DC Practitioner - Mental Health Counselor 1052537396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PRC14229DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community of Hope Inc. CurrentSince Jan 1, 2024 Accepting new patients
Capitolhill Consortium for Counseling & Consultation, LLC PastSince Jul 20, 2018 Accepting new patients

Locations

2375 Elvans Rd SE
Washington, DC 20020
Phone (202) 328-6608

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

Interoperability endpoints

  • Direct secure messaging: irene.mendoza@coh.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1144560509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 240",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-544-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 240",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-544-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "IRENE",
        "credential": "M.S.,LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.