Individual provider Active NPI

Elaine Diane Farrar, MA, LSWA, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1326430109
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC1175 Issued in DC
Practice address
1327 Valley PL SE
Washington, DC 20020-5715
Phone
(202) 547-3870
Fax
(202) 546-9642
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC1175 DC Primary

Addresses

Primary practice location

1327 Valley PL SE
Washington, DC 20020-5715

Mailing address

1327 Valley PL SE
Washington, DC 20020-5715
Phone (202) 547-3870

Other identifiers 1

IdentifierTypeStateIssuer
PRC1175MedicaidDC

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC1175DCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1326430109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 VALLEY PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205715",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 VALLEY PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205715",
            "telephone_number": "202-547-3870",
            "fax_number": "202-546-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "ELAINE",
        "middle_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "MA, LSWA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PRC1175",
            "state": "DC"
        }
    ],
    "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 Mar 3, 2015; 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.