Theresa Juanita Govan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PRC097 Issued in DC

Practice address

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024

Phone

(202) 563-7632

NPI assigned

Apr 27, 2020

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tgovan@preventivemeasures.onmicrosoft.com

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1720609134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 FIDGEWAY LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748661",
            "telephone_number": "301-503-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-563-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVAN",
        "first_name": "THERESA",
        "middle_name": "JUANITA",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TGovan@PreventiveMeasures.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200207024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TGovan@PreventiveMeasures.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200207024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosemary Jane Gould, LICSW, LCSW-C, LCSW
• Sara Gould
• Kounda Goundiam
• Norah Clair Gourlay, NP
• Endura Govan
• Ulyssia Govan
• Adeline K Govekung
• Ariana Caroline Gover-Chamlou, MD
• Government Medical Supplies
• Government of the District of Columbia Office of Tax and Revenue (DC Fire and EMS Department)

• 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 Apr 27, 2020; 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.