Active NPI
Robert Butler Jr.
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1306414354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3750 Jamison St NE # E308
Washington, DC 20018-4453 - Phone
- (202) 246-2793
- NPI assigned
- Jun 16, 2021
- Last updated
- Jun 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | DC | Primary |
Addresses
Primary practice location
3750 Jamison St NE # E308
Washington, DC 20018-4453
Mailing address
5375 Chillum PL NE
Washington, DC 20011-2620
Phone (202) 497-3382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1483190 | Other | DC | DLN: |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 202-832-8818 | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1306414354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5375 CHILLUM PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112620",
"telephone_number": "202-497-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 JAMISON ST NE # E308",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200184453",
"telephone_number": "202-246-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DLN:",
"identifier": "1483190",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "202-832-8818",
"affiliation": "N",
"endpointDescription": "1251-B Saratoga ave N.E. Washington DC 20018",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "2028328818",
"address_1": "3750 Jamison St NE # E308",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200184453",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.