Individual provider Active NPI

Anthony Nogueira, LCPC, NCC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1306478094
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17123 Issued in MD
Practice address
1642 R St NW Ste 220A220B
Washington, DC 20009-6425
Phone
(202) 644-8904
NPI assigned
Feb 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC17123 MD Primary
Professional Counselor 101YP2500X LGPC00664 DC

Addresses

Primary practice location

1642 R St NW Ste 220A220B
Washington, DC 20009-6425

Mailing address

1642 R St NW Ste 220A220B
Washington, DC 20009-6425

Other practice location 1

8030 Woodmont Ave Fl 3
Bethesda, MD 20814-3027
Phone (301) 519-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121000670 DC Practitioner - Mental Health Counselor 0547752149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

344 University Blvd W
Silver Spring, MD 20901-1998
Phone (202) 483-8196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPC00664DCMDProfessional Counselor
LC17123MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Oct 6, 2025 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Oct 6, 2025 Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1306478094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 R ST NW STE 220A220B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 R ST NW STE 220A220B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096425",
            "telephone_number": "202-644-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Woodmont Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143027",
            "country_code": "US",
            "telephone_number": "301-519-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUEIRA",
        "first_name": "ANTHONY",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17123",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC00664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.