Omar Ahmed Fawzy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC00308 Issued in DC

Practice address

1707 Kalorama Rd NW
Washington, DC 20009-2648

Phone

(202) 765-4405

NPI assigned

Feb 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1649779539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 INGRAHAM ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113601",
            "telephone_number": "202-258-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 KALORAMA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092648",
            "telephone_number": "202-765-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "OMAR",
        "middle_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP7714",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Fawehinmi
• Khalifatu O Fawehinmi
• Abimbola Oyejoke Fawibe
• Oyindamola Fawole, MD
• Omotola Fawunmi
• John Faxio
• Philip Faxio
• Gabrielle Fay-O'Hara, PA-C
• Jill Fay, PSY.D.
• Michel N Fayad, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.