Xiaodi Chen

Individual provider Active NPI Marriage & Family Therapist · Washington, DC

NPI 1568097780 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1568097780
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT000242 (DC)
Practice address
1425 17TH St NW Apt 102
Washington, DC 20036-6428
Phone
(318) 618-1123
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMFT000242DCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wake Kendall Group, PLLC Marriage & Family Therapist Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT000242 DC Yes

Addresses

Primary practice location

1425 17TH St NW Apt 102
Washington, DC 20036-6428

Mailing address

1425 17TH St NW Apt 102
Washington, DC 20036-6428

Other providers in Washington, DC

All providers in Washington, DC · Marriage & Family Therapist in District of Columbia

Sources for this page

Verify at the official NPI Registry.