Individual provider Active NPI

Grace O Akinjide

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1154776524
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15066 Issued in DC
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

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903002730 DC Practitioner - Mental Health Counselor 7416496534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC15066DCMDProfessional Counselor
LPN1006945DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.