Active NPI
Brenda L. Terry-Leonard, PH.D.
- Counseling Psychologist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY1000116
- Practice address
- 333 Hawaii Ave NE Ste 100
Washington, DC 20011 - Phone
- (202) 232-4270
- Fax
- (202) 232-4394
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 03794 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 03794 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY1000116 | DC | |
| Family Psychologist | 103TF0000X | 03794 | MD | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY1000116 | DC | |
| Counseling Psychologist | 103TC1900X | PSY1000116 | DC | Primary |
Addresses
Primary practice location
333 Hawaii Ave NE Ste 100
Washington, DC 20011
Mailing address
10831 Vista Gardens Dr
Bowie, MD 20720-4263
Phone (301) 332-0892
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03794 | MD | MD | Clinical Child & Adolescent Psychologist |
| PSY1000116 | DC | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients | |
| Love Your Life Healthcare Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
2115 Wisconsin Ave NW
Fl 200
Washington, DC 20007
2115 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 444-8531
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000
Organizations & group practices 5
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1467720839
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1316069636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10831 VISTA GARDENS DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204263",
"telephone_number": "301-332-0892",
"fax_number": "202-232-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 HAWAII AVE NE STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20011",
"telephone_number": "202-232-4270",
"fax_number": "202-232-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY-LEONARD",
"first_name": "BRENDA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "03794",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "03794",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "DC",
"license": "PSY1000116",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MD",
"license": "03794",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "DC",
"license": "PSY1000116",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DC",
"license": "PSY1000116",
"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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.