Washington Adventist University Community Counseling Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA393 Issued in MD

Legal business name

WASHINGTON ADVENTIST UNIVERSITY COMMUNITY COUNSELING CENTER

Practice address

7600 Flower Ave
Suite 441-Psychology Department
Takoma Park, MD 20912-7744

Phone

(301) 576-0131

Fax

(301) 891-4054

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Judith Ann Upshaw, LCADC, ABD

Title

Clinical Supervisor

Phone

(301) 576-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1518396100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FLOWER AVE",
            "address_2": "SUITE 441-PSYCHOLOGY DEPARTMENT",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127744",
            "telephone_number": "301-576-0131",
            "fax_number": "301-891-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FLOWER AVE",
            "address_2": "SUITE 441-PSYCHOLOGY DEPARTMENT",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127744",
            "telephone_number": "301-576-0131",
            "fax_number": "301-891-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ADVENTIST UNIVERSITY COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "301-576-0131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCADC, ABD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHCQ",
            "identifier": "SAMIS100033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lavon Wallker, P.T.
• Sally Warf, RN, CNRN
• Oswald G Warner Jr., D.D.S.
• Washington Adventist Family Pharmacy
• Washington Adventist Hospital
• Washington Cardiovascular Institute LLC
• Washington Cardiovascular Institute LLC
• Washington Cardiovascular Institute LLC
• Washington Cardiovascular Institute LLC
• Washington Nephrology Associates, L.L.P.

• Addiction (Substance Use Disorder) Counselor in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.