Active NPI
Mirna Amaya, LPC
- Counselor
- Washington, DC
National Provider Identifier
1679610828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PRC13809
- Practice address
- 7412 Georgia Ave NW
#4
Washington, DC 20012-1754 - Phone
- (202) 413-7837
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Counselor | 101Y00000X | PRC13809 | DC | Primary |
Addresses
Primary practice location
7412 Georgia Ave NW
#4
Washington, DC 20012-1754
Mailing address
1725 Lanier PL NW
#26D
Washington, DC 20009-2182
Phone (202) 669-4668
Other practice location 1
1725 Lanier Pl NW Apt 26D
Washington, DC 20009-2952
Phone (202) 669-4668
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 |
|---|---|---|---|
| PRC13809 | DC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlock Your Mind Psychotherapy and Consultation Services, LLC | Past | Accepting new patients | |
| Creative Ways Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Washington, DC
- NPI 1013608389
-
- Clinical Social Worker
- Washington, DC
- NPI 1992030985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1679610828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 LANIER PL NW",
"address_2": "#26D",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092182",
"telephone_number": "202-669-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 GEORGIA AVE NW",
"address_2": "#4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121754",
"telephone_number": "202-413-7837"
}
],
"practiceLocations": [
{
"address_1": "1725 Lanier Pl NW Apt 26D",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200092952",
"country_code": "US",
"telephone_number": "202-669-4668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAYA",
"first_name": "MIRNA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "PRC13809",
"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 Sep 29, 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.