Active NPI
Matthew Siblo
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1649514142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRC14254
- Practice address
- 1320 19TH St NW
#200
Washington, DC 20036-1610 - Phone
- (917) 270-3308
- NPI assigned
- Nov 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC14254 | DC | Primary |
Addresses
Primary practice location
1320 19TH St NW
#200
Washington, DC 20036-1610
Mailing address
1320 19TH St NW
#200
Washington, DC 20036-1610
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 |
|---|---|---|---|
| PRC14254 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1649514142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 19TH ST NW",
"address_2": "#200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 19TH ST NW",
"address_2": "#200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361610",
"telephone_number": "917-270-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBLO",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC14254",
"primary": true
}
],
"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 Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.