Individual provider Active NPI

Petrea Denise Simpson, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1144706722
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000024 Issued in DC
Practice address
1700 Good Hope Rd SE
Washington, DC 20020-4708
Phone
(202) 595-7866
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 000024 DC Primary

Addresses

Primary practice location

1700 Good Hope Rd SE
Washington, DC 20020-4708

Mailing address

1700 Good Hope Rd SE
Washington, DC 20020-4708
Phone (202) 595-7866

Other practice location 1

2616 Martin Luther King Jr Ave SE
Washington, DC 20020-7715
Phone (202) 724-7666

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
I20240226001812 DC Practitioner - Mental Health Counselor 6406291830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bread for the City,Inc.Group PAC ID 7719042902, 10 clinicians

Practice addresses (Care Compare)

1525 7TH St NW
Washington, DC 20001-3201
Phone (202) 235-1926

1700 Good Hope Rd SE
Washington, DC 20020
Phone (202) 386-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000024DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bread for the City,Inc. CurrentSince Jan 14, 2024 Accepting new patients
Bread for the City Inc CurrentSince Jan 14, 2024 Accepting new patients
Paving the Way Multi Service Institute PastSince Nov 27, 2016 Accepting new patients

Locations

1525 7th St NW
Washington, DC 20001
Phone (202) 235-1926

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAFAA/Endpoint/HJAFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAFAA

Organizations & group practices 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1144706722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204708",
            "telephone_number": "202-595-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204708",
            "telephone_number": "202-595-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2616 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207715",
            "country_code": "US",
            "telephone_number": "202-724-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "PETREA",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "000024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.