Individual provider Active NPI

Cletus Alot Chofong

  • Addiction (Substance Use Disorder) Counselor
  • Upper Marlboro, MD
National Provider Identifier
1164301198
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACII200001328 Issued in DC
Practice address
12303 Ronald Beall Rd
Upper Marlboro, MD 20774-5682
Phone
(240) 838-9559
NPI assigned
Sep 2, 2025
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII200001328 DC Primary

Addresses

Primary practice location

12303 Ronald Beall Rd
Upper Marlboro, MD 20774-5682

Mailing address

12303 Ronald Beall Rd
Upper Marlboro, MD 20774-5682
Phone (240) 838-9559

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

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1164301198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 RONALD BEALL RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745682",
            "telephone_number": "240-838-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 RONALD BEALL RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745682",
            "telephone_number": "240-838-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOFONG",
        "first_name": "CLETUS",
        "middle_name": "ALOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII200001328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.