Organization Active NPI

Over the Rainbow LLC

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1255666145
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PRC13849 Issued in DC
Legal business name
OVER THE RAINBOW LLC
Practice address
2737 Devonshire PL NW
Unit I
Washington, DC 20008-3479
Phone
(540) 455-2585
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Jennifer J Fuentes, MS NCC LPCNPI 1205076304
Title
Founder and Clinician
Phone
(540) 455-2585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 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

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1255666145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW",
            "address_2": "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",
            "address_2": "UNIT I",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "540-455-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVER THE RAINBOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER AND CLINICIAN",
        "authorized_official_telephone_number": "540-455-2585",
        "authorized_official_credential": "MS NCC LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Oct 9, 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.

Verify at the official NPI Registry.