Active NPI
Zachary Khoury, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1568185205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC200002070
- Practice address
- 650 Pennsylvania Ave SE Ste 440
Washington, DC 20003-4424 - Phone
- (202) 544-5440
- NPI assigned
- Sep 19, 2022
- Last updated
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PRC200002070 | DC | Primary |
Addresses
Primary practice location
650 Pennsylvania Ave SE Ste 440
Washington, DC 20003-4424
Mailing address
1608 15TH St NW BSMT
Washington, DC 20009-3802
Phone (843) 670-5743
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://ccccmentalhealth.com/ | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC200002070 | DC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitolhill Consortium for Counseling & Consultation, LLC | Multi-Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCCC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1992965552
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1568185205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 15TH ST NW BSMT",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093802",
"telephone_number": "843-670-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PENNSYLVANIA AVE SE STE 440",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034424",
"telephone_number": "202-544-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "ZACHARY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC200002070",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://ccccmentalhealth.com/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "name",
"address_1": "650 Pennsylvania Ave SE Ste 440",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200034424",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.