Active NPI
Etien Turboo Mbah
- Addiction (Substance Use Disorder) Counselor
- Bowie, MD
National Provider Identifier
1336504935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 15763 Pointer Ridge Dr
Bowie, MD 20716-1710 - Phone
- (240) 486-3382
- NPI assigned
- Dec 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | DC | ||
| Home Health Aide | 374U00000X | HHA11544 | DC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | DC | Primary |
Addresses
Primary practice location
15763 Pointer Ridge Dr
Bowie, MD 20716-1710
Mailing address
15763 Pointer Ridge Dr
Bowie, MD 20716-1710
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA11544 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1336504935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15763 POINTER RIDGE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15763 POINTER RIDGE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161710",
"telephone_number": "240-486-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "ETIEN",
"middle_name": "TURBOO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-24",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA11544",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.