Active NPI
Grace O Akinjide
- Professional Counselor
- Washington, DC
National Provider Identifier
1154776524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC15066
- Practice address
- 6210 N Capitol St NW
Washington, DC 20011-1416 - Phone
- (202) 905-6286
- NPI assigned
- May 4, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC7873 | MD | |
| Licensed Practical Nurse | 164W00000X | LPN1006945 | DC | |
| Professional Counselor | 101YP2500X | PRC15066 | DC | Primary |
Addresses
Primary practice location
6210 N Capitol St NW
Washington, DC 20011-1416
Mailing address
13709 Hotomtot Dr
Upper Marlboro, MD 20774-7157
Phone (202) 702-3725
Other practice location 1
7600 Georgia Avenue Suite 323
Washington, DC 20012
Phone (202) 723-3060 ext. 213
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903002730 | DC | Practitioner - Mental Health Counselor | 7416496534 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC15066 | DC | MD | Professional Counselor |
| LPN1006945 | DC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Mind | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fairmount Heights, MD
- NPI 1700565652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1154776524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13709 HOTOMTOT DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747157",
"telephone_number": "202-702-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 N CAPITOL ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111416",
"telephone_number": "202-905-6286"
}
],
"practiceLocations": [
{
"address_1": "7600 GEORGIA AVENUE SUITE 323",
"address_purpose": "LOCATION",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"country_code": "US",
"telephone_number": "202-723-3060 x213",
"fax_number": "202-723-3065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKINJIDE",
"first_name": "GRACE",
"middle_name": "O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC7873",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1006945",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC15066",
"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 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.