Individual provider Active NPI

Joseph D Washington, MHR, LPC-S

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1295070381
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6290 Issued in OK
Practice address
4334 NW Expressway Ste 189
Oklahoma City, OK 73116-1515
Phone
(405) 673-4733
NPI assigned
Nov 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 6290 OK
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6290 OK Primary

Addresses

Primary practice location

4334 NW Expressway Ste 189
Oklahoma City, OK 73116-1515

Mailing address

4334 NW Expressway Ste 189
Oklahoma City, OK 73116-1515
Phone (405) 673-4733

Other identifiers 1

IdentifierTypeStateIssuer
1295070381MedicaidOK

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

State licenses

LicenseStateTypeSpecialty
6290OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Potential Counseling Services, LLC Mental Health CurrentSince Apr 6, 2021 Accepting new patients

Locations

4334 NW Expressway
Ste 189
Oklahoma City, OK 73116
Phone (405) 673-4733

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1295070381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 189",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-673-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 189",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-673-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MHR, LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6290",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295070381",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.