NPIMap

Organization Active NPI

William Wendt Center for Loss and Healing

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1710040720
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLIAM WENDT CENTER FOR LOSS AND HEALING
Practice address
4201 Connecticut Avenue NW
Suite 300
Washington, DC 20008-1162
Phone
(202) 624-0010
Fax
(202) 624-0062
NPI assigned
Dec 19, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Jerri L Anglin, LICSWNPI 1063446995
Title
Director of Clinical Services
Phone
(202) 422-8063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4201 Connecticut Avenue NW
Suite 300
Washington, DC 20008-1162

Mailing address

4201 Connecticut Avenue NW
Suite 300
Washington, DC 20008-1162
Phone (202) 624-0010

Other names 1

  • St Francis Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000349 DC Part B Supplier - Clinic/Group Practice 3870576986 Receives reassigned benefits from 15 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Wendt Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 Kalmia Rd NW
Washington, DC 20012
Phone (202) 291-1975

4201 Connecticut Ave NW
Ste 300
Washington, DC 20008
Phone (202) 624-0010

730 11th St NW
Fl 3
Washington, DC 20001
Phone (202) 624-0010

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1710040720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVENUE NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081162",
            "telephone_number": "202-624-0010",
            "fax_number": "202-624-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVENUE NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081162",
            "telephone_number": "202-624-0010",
            "fax_number": "202-624-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WENDT CENTER FOR LOSS AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "202-422-8063",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St Francis Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.