Individual provider Active NPI

Sekou Fahnbulleh

  • Mental Health Counselor
  • Takoma Park, MD
National Provider Identifier
1700575404
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
906 Browning Ave Apt 302
Takoma Park, MD 20912-7150
Phone
(202) 415-7148
NPI assigned
May 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

906 Browning Ave Apt 302
Takoma Park, MD 20912-7150

Mailing address

906 Browning Ave Apt 302
Takoma Park, MD 20912-7150
Phone (202) 415-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20260624003598 DC Practitioner - Mental Health Counselor 2264905983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11408 December Way
Apt 103
Silver Spring, MD 20904-3624

1151 Bladensburg Rd NE
Suite 101
Washington, DC 20002-8971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1700575404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BROWNING AVE APT 302",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127150",
            "telephone_number": "202-415-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BROWNING AVE APT 302",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127150",
            "telephone_number": "202-415-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNBULLEH",
        "first_name": "SEKOU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.