Active NPI
Letisha Washington, LGPC
- Counselor
- Havre de Grace, MD
National Provider Identifier
1740604172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP5416
- Practice address
- 626 Revolution St
Havre de Grace, MD 21078-3320 - Phone
- (410) 996-5104
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP5416 | MD | Primary |
Addresses
Primary practice location
626 Revolution St
Havre de Grace, MD 21078-3320
Mailing address
626 Revolution St
Havre de Grace, MD 21078-3320
Phone (410) 996-5104
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 |
|---|---|---|---|
| LGP5416 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1740604172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783320",
"telephone_number": "410-996-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783320",
"telephone_number": "410-996-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "LETISHA",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP5416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.