Jack Werstein, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC15104 Issued in DC

Practice address

1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031

Phone

(202) 506-3240

NPI assigned

Oct 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Otr Wellness

  • Mental Health Counselor
  • Washington, DC
  • NPI 1235937848
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1154896157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 CONNECTICUT AVE NW APT 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084315",
            "telephone_number": "202-506-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-506-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERSTEIN",
        "first_name": "JACK",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC-DOH",
            "identifier": "PRC15104",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tewabech Gebrekirstos Wereta
• Genet Werku
• Alexa Stelling Werner
• Rachel Wernicke, PH.D.
• Solomon Werssa
• Barry M Wertheimer, M.D.
• Pernell T Werts
• Terell Werts
• Brian L Wesley, LGSW
• Daniel Wesley

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.