Active NPI
Jennifer Jill Fuentes, MS NCC LPC
- Professional Counselor
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC13849
- Practice address
- 2737 Devonshire PL NW Unit I
Washington, DC 20008-3479 - Phone
- (540) 455-2585
- NPI assigned
- Mar 2, 2009
- Last updated
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC13849 | DC | Primary |
Addresses
Primary practice location
2737 Devonshire PL NW Unit I
Washington, DC 20008-3479
Mailing address
2737 Devonshire PL NW Unit I
Washington, DC 20008-3479
Phone (540) 455-2585
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC13849 | DC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otr Wellness | Current | Accepting new patients | |
| Over the Rainbow LLC | Current | Accepting new patients |
Locations
1801 Columbia Rd NW
Ste 102
Washington, DC 20009
Phone (202) 506-3240
2737 Devonshire Pl NW
Unit I
Washington, DC 20008
Phone (540) 455-2585
1316 King St
Alexandria, VA 22314
Phone (202) 506-3240
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Washington, DC
- NPI 1235937848
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1255666145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1205076304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 DEVONSHIRE PL NW UNIT I",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200083479",
"telephone_number": "540-455-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 DEVONSHIRE PL NW UNIT I",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200083479",
"telephone_number": "540-455-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "JENNIFER",
"middle_name": "JILL",
"credential": "MS NCC LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC13849",
"primary": true
}
],
"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 Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.