Hyacinth Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HYACINTH WELLNESS, LLC

Practice address

1224 M St NW Ste 200
Washington, DC 20005-5225

Phone

(202) 850-0641

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Tawana Fenton, LPCNPI 1659861458

Title

Ceo

Phone

(202) 906-0334

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawana Fenton, LPC

  • Professional Counselor
  • Washington, DC
  • NPI 1659861458
  NPD Authorized official

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1467071985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 IRVING ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202717",
            "telephone_number": "202-906-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 M ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055225",
            "telephone_number": "202-850-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYACINTH WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-906-0334",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659861458",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason J Hwang, DDS
• Jonathan Hwang, MD
• Paul M. Hwang, MD
• Maritu Hwase
• Diane Hwu, RN
• Kenneth Craig Hyams, MD
• Andrew Phillip Hyatt, DO
• Danielle Hyatt, LGSW
• Janael N Hyatt
• Joura Hyatt

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.