Active NPI
Teresa Lewis
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1154733251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRC1069
- Practice address
- 3921 Minnesota Ave NE
Washington, DC 20019-2662 - Phone
- (202) 839-5310
- Fax
- (202) 388-9209
- NPI assigned
- May 22, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC1069 | DC | Primary |
Addresses
Primary practice location
3921 Minnesota Ave NE
Washington, DC 20019-2662
Mailing address
3921 Minn Ave NE
Washington, DC 20019-2662
Phone (202) 839-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064843200 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC1069 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1154733251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 MINN AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192662",
"telephone_number": "202-839-5310",
"fax_number": "202-388-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 MINNESOTA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192662",
"telephone_number": "202-839-5310",
"fax_number": "202-388-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC1069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064843200",
"state": "DC"
}
],
"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 Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.