Harry Thomas Washington Jr., LCPC

Individual provider Active NPI Professional Counselor · Bowie, MD

NPI 1265969802 · NPPES record last updated May 14, 2017

Key facts

NPI
1265969802
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC7028 (MD)
Practice address
10111 Martin Luther King Jr. Highway
Suite 200
Bowie, MD 20720
Phone
(202) 597-9953
NPI assigned
May 14, 2017
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC7028MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Washington Past Accepting new patients
Ehome Behavioral Care Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC7028 MD
Professional Counselor 101YP2500X LC7028 MD Yes

Addresses

Primary practice location

10111 Martin Luther King Jr. Highway
Suite 200
Bowie, MD 20720

Mailing address

13013 Marquette Lane
Bowie, MD 20715
Phone (301) 442-1527

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2017.

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1265969802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13013 MARQUETTE LANE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-442-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR. HIGHWAY",
            "address_2": "SUITE 200",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20720",
            "telephone_number": "202-597-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "HARRY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC7028",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

All providers in Bowie, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.