Individual provider Active NPI

Anna Chung, PHD

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1508242405
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15098 Issued in DC
Practice address
2604 Connecticut Ave NW Ste 202
Washington, DC 20008
Phone
(202) 505-4063
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 PRC15098 DC Primary

Addresses

Primary practice location

2604 Connecticut Ave NW Ste 202
Washington, DC 20008

Mailing address

2604 Connecticut Ave NW Ste 202
Washington, DC 20008-1595
Phone (202) 505-4063

Other practice location 1

1835 California St NW
Apt C
Washington, DC 20009-1876
Phone (202) 406-0070

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PRC15098DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodley Psychoanalytic Associates Professional Current Accepting new patients

Locations

2604 Connecticut Ave NW
Ste 202
Washington, DC 20008
Phone (202) 505-4063

Organizations & group practices 1

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1508242405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 CONNECTICUT AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081595",
            "telephone_number": "202-505-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CONNECTICUT AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "202-505-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 California St NW",
            "address_2": "Apt C",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200091876",
            "country_code": "US",
            "telephone_number": "202-406-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15098",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2018; 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.