Individual provider Active NPI

Wilfried C Vereecke

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1578896890
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14002 Issued in DC
Practice address
4100 Nebraska Ave NW
Washington, DC 20016-2736
Phone
(202) 363-1841
Fax
(202) 363-1841
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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 PRC14002 DC Primary
Psychoanalyst 102L00000X ADVANCED CANDIDATE DC

Addresses

Primary practice location

4100 Nebraska Ave NW
Washington, DC 20016-2736

Mailing address

4100 Nebraska Ave NW
Washington, DC 20016-2736
Phone (202) 363-1841

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

LicenseStateTypeSpecialty
PRC14002DCMDProfessional Counselor
ADVANCED CANDIDATEDCMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1578896890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NEBRASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162736",
            "telephone_number": "202-363-1841",
            "fax_number": "202-363-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NEBRASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162736",
            "telephone_number": "202-363-1841",
            "fax_number": "202-363-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEREECKE",
        "first_name": "WILFRIED",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14002",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "DC",
            "license": "ADVANCED CANDIDATE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 18, 2009; 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.