Individual provider Active NPI

Retna Mae Pullings, JD, CACII, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1184160426
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACII1025 Issued in DC
Practice address
1477 Newton St NW
B1
Washington, DC 20010-3100
Phone
(202) 459-1207
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII1025 DC Primary
Mental Health Counselor 101YM0800X CACII1025 DC

Addresses

Primary practice location

1477 Newton St NW
B1
Washington, DC 20010-3100

Mailing address

1477 Newton St NW
B1
Washington, DC 20010-3100
Phone (202) 459-1207

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
Juris Doctor

State licenses

LicenseStateTypeSpecialty
CACII1025DCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1184160426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 NEWTON ST NW",
            "address_2": "B1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103100",
            "telephone_number": "202-459-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 NEWTON ST NW",
            "address_2": "B1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103100",
            "telephone_number": "202-459-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLINGS",
        "first_name": "RETNA",
        "middle_name": "MAE",
        "credential": "JD, CACII, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1025",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "CACII1025",
            "primary": false
        }
    ],
    "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 Jan 10, 2017; 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.