Individual provider Active NPI

John Mbuvi Ndambuki, LPC, LCPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1538478656
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14114 Issued in DC
Practice address
701 L Street, SE.
Washington, DC 20003
Phone
(202) 547-3780
Fax
(202) 546-9546
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14114 DC Primary
Professional Counselor 101YP2500X LC3069 MD

Addresses

Primary practice location

701 L Street, SE.
Washington, DC 20003

Mailing address

6916 Lamont Dr
Lanham, MD 20706-4607
Phone (301) 538-8463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121206000297 DC Practitioner - Clinical Psychologist 7315199957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psi Services III, IncGroup PAC ID 1850464660, 8 clinicians

Practice addresses (Care Compare)

13611 Laurel Bowie Rd
Laurel, MD 20708-1563
Phone (301) 538-8463

5820 Dix St NE
Washington, DC 20019-6965
Phone (202) 547-3870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3069MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J M Creative Services LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

13611 Laurel Bowie Rd
Laurel, MD 20708
Phone (301) 538-8463

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1538478656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 LAMONT DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064607",
            "telephone_number": "301-538-8463",
            "fax_number": "202-546-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 L STREET, SE.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-547-3780",
            "fax_number": "202-546-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAMBUKI",
        "first_name": "JOHN",
        "middle_name": "MBUVI",
        "name_prefix": "Dr.",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14114",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.