Marcellis Dominique Washington, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021035831 Issued in MO

Practice address

8010 N Elmwood Ave
Kansas City, MO 64119-8600

Phone

(816) 769-3845

NPI assigned

Aug 12, 2020

Sex

Male

Sole proprietor

No

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 MO

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

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.

• Holly L. Ramaeker

  • Professional Counselor
  • Kansas City, MO
  • NPI 1861143679
  Medicare reassignment NPD
• Washington Brothers Therapy

  • Counselor
  • Kansas City, MO
  • NPI 1841156361
  NPD Authorized official
• Nobility Group, LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1427526466
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1639780828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 NE 67TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641197872",
            "telephone_number": "816-769-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 N ELMWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641198600",
            "telephone_number": "816-769-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MARCELLIS",
        "middle_name": "DOMINIQUE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021035831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427526466",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaz Washington, PHARM.D
• Christin Washington, RBT
• Dakei Washington, LSCSW
• Kayla Washington
• Lisa C Washington, CRNA
• Alexandria Rose Wasinger, APRN
• Shannon Marie Wasmer
• Clare E Wasmuth, DPT
• Hunter Wasserman, M.D.
• Danny Ross Wasson, D.C.

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.