Individual provider Active NPI

Che'Vaniece Marshall, NCC, LPC

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1346090412
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC200001998 Issued in DC
Practice address
100 Florida Ave NE Apt 1007
Washington, DC 20002-3369
Phone
(253) 431-2841
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC200001998 DC Primary

Addresses

Primary practice location

100 Florida Ave NE Apt 1007
Washington, DC 20002-3369

Mailing address

100 Florida Ave NE Apt 1007
Washington, DC 20002-3369
Phone (253) 431-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240808002462 DC Practitioner - Mental Health Counselor 3173060084 Reassigns benefits to 1 organization
I20241213000301 MD Practitioner - Mental Health Counselor 3173060084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Counseling LLC CurrentSince Dec 6, 2024 Accepting new patients
Divine Counseling LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

90 Painters Mill Rd
Ste 135136
Owings Mills, MD 21117
Phone (443) 955-2662

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1346090412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FLORIDA AVE NE APT 1007",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023369",
            "telephone_number": "253-431-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FLORIDA AVE NE APT 1007",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023369",
            "telephone_number": "253-431-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHE'VANIECE",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC200001998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.