Active NPI
Emily Decker, MS, CRC
- Counselor
- Washington, DC
National Provider Identifier
1184006546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1025 Connecticut Ave NW Ste 1000
Washington, DC 20036-5417 - Phone
- (202) 309-2048
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1025 Connecticut Ave NW Ste 1000
Washington, DC 20036-5417
Mailing address
2645 Portland Rd NE Ste 120
Salem, OR 97301-0200
Phone (503) 390-5637
Other practice location 1
1010 Massachusetts Ave NW Unit 803
Washington, DC 20001-5412
Phone (541) 908-6616
Other names 1
- Mrs. Emily Kolibaba
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Mental Health, LLC | Current | Accepting new patients | |
| Options Counseling Services of Oregon | 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.
-
- Mental Health Counselor
- Washington, DC
- NPI 1881326866
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1184006546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 PORTLAND RD NE STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973010200",
"telephone_number": "503-390-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 CONNECTICUT AVE NW STE 1000",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365417",
"telephone_number": "202-309-2048"
}
],
"practiceLocations": [
{
"address_1": "1010 Massachusetts Ave NW Unit 803",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200015412",
"country_code": "US",
"telephone_number": "541-908-6616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECKER",
"first_name": "EMILY",
"name_prefix": "Ms.",
"credential": "MS, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "KOLIBABA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.