Jade Clinical Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JADE CLINICAL SERVICES

Doing business as

Jade Clinical Services

Practice address

62 55TH St SE
Washington, DC 20019-6564

Phone

(202) 596-7162

NPI assigned

Apr 19, 2021

Last updated

Jul 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney Coleman, LICSWNPI 1881889772

Title

Founder

Phone

(202) 596-7162

Specialties & licenses 4

Addresses

Other names 1

• Jade Clinical Services Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Whitney Leora Bellinger Coleman, LICSW, LCSW-C

  • Clinical Social Worker
  • Washington, DC
  • NPI 1881889772
  NPD Authorized official

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689379200000",
    "number": "1649851999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 55TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196564",
            "telephone_number": "202-596-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 55TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196564",
            "telephone_number": "202-596-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "202-596-7162",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney@jadeclinical.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "62 55th St SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200196564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jade Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jade Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Moira Jacobstein, MD
• Tyler James Jacques, D.M.D.
• Naike Christelle Jacquet, PNP
• Cyril Jacquot, M.D./PH.D.
• Taneisha Jacson, FNP-BC
• Samantha Jade
• Mandar Jadhav, MD
• Leslie Moore Jadin, PH.D.
• Abdul Karim Jadun, D.D.S.
• Daniel J Jaeger, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.