Joseph Atsianzale Wakhanala, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14851 Issued in DC

Practice address

1221 Taylor St NW
Washington, DC 20011-5617

Phone

(202) 464-9200

Fax

(202) 291-2160

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070
  Medicare reassignment NPD
• Emmach Services, Inc.

  dba Emmach Health Care

  • Home Health Agency
  • Takoma Park, MD
  • NPI 1518150770
  NPD (past) Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1619144359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 54TH AVE APT 602",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372256",
            "telephone_number": "240-646-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 TAYLOR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115617",
            "telephone_number": "202-464-9200",
            "fax_number": "202-291-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKHANALA",
        "first_name": "JOSEPH",
        "middle_name": "ATSIANZALE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2248",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011019100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tegest G Wake
• Denise W Wakefield-Williams
• Samuel Wakelin
• Leulseged Abera Wakene
• Emma Chimoli Wakhanala
• Etenesh Wakjra
• Hana Mamo Wakjra I
• Addis Wako
• Terufat Wako
• Ron Waksman, M.D.

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.