Active NPI
Gracefully Fulfilled Counseling and Coaching Services
- Counselor
- Washington, DC
National Provider Identifier
1568079440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- GRACEFULLY FULFILLED COUNSELING AND COACHING SERVICES
- Practice address
- 219 56TH Place NE
Washington, DC 20019 - Phone
- (202) 952-1302
- Fax
- (202) 684-2879
- NPI assigned
- Sep 25, 2020
- Organization subpart
- Yes
- Parent organization
- CL ENTERPRISE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christian L Howard, LPC
- Title
- Ceo
- Phone
- (404) 645-6289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
219 56TH Place NE
Washington, DC 20019
Mailing address
712 H St NE
Washington, DC 20002-3627
Phone (202) 952-1302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003456419 | Medicaid | DC |
Other names 1
- Gracefully Fulfilled Counseling and Coaching Services
National Provider Directory
National Provider Directory- Part of
- Gracefully Fulfilled Counseling and Coaching Services
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Washington, DC
- NPI 1003456419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1568079440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 H ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023627",
"telephone_number": "202-952-1302",
"fax_number": "202-684-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 56TH PLACE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20019",
"telephone_number": "202-952-1302",
"fax_number": "202-684-2879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEFULLY FULFILLED COUNSELING AND COACHING SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CL ENTERPRISE, LLC",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-645-6289",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003456419",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gracefully Fulfilled Counseling and Coaching Services",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 25, 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.