Active NPI
Donald Ross
- Addiction (Substance Use Disorder) Counselor
- Washington, DC
National Provider Identifier
1386362465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CACII1094
- Practice address
- 1300 I St NW Ste 400
Washington, DC 20005-3314 - Phone
- (240) 432-7204
- Fax
- (202) 749-8301
- NPI assigned
- Aug 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACII1094 | DC | Primary |
Addresses
Primary practice location
1300 I St NW Ste 400
Washington, DC 20005-3314
Mailing address
3203 Benjamin CT
Clinton, MD 20735-4583
Phone (202) 369-2204
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Portal | Health Information Exchange (HIE) | Lifegate Health Services |
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 |
|---|---|---|---|
| CACII1094 | DC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1386362465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 BENJAMIN CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354583",
"telephone_number": "202-369-2204",
"fax_number": "202-749-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 I ST NW STE 400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200053314",
"telephone_number": "240-432-7204",
"fax_number": "202-749-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "CACII1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Portal",
"affiliation": "Y",
"affiliationName": "Lifegate Health Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1300 I St NW Ste 400",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200053314",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.