Individual provider Active NPI

Saqueita Russell, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1760952816
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15433 Issued in DC
Practice address
315 H St NE
Washington, DC 20002-5678
Phone
(703) 662-0277
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC15433 DC Primary
Mental Health Counselor 101YM0800X LGPC00430 DC

Addresses

Primary practice location

315 H St NE
Washington, DC 20002-5678

Mailing address

315 H St NE
Washington, DC 20002-5678
Phone (036) 620-2777

Other practice location 1

3029 Martin Luther King Jr Ave SE
Washington, DC 20032-2506
Phone (202) 232-6100

Other practice location 2

915 Rhode Island Ave NW
Washington, DC 20001-4153
Phone (301) 541-7732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240604003986 DC Practitioner - Mental Health Counselor 4082156195 Reassigns benefits to 1 organization
I20260311001989 VA Practitioner - Mental Health Counselor 4082156195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPC00430DCMDMental Health Counselor
PRC15433DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care and Associates LLC CurrentSince Feb 3, 2026 Accepting new patients
Hillcrest Children'S Center PastSince Sep 8, 2025 Accepting new patients
Capital Healthcare PC Dba Allcare PastSince Dec 6, 2022 Accepting new patients

Locations

811 2nd St SE
Washington, DC 20003
Phone (202) 964-2202

315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100

Interoperability endpoints

  • Direct secure messaging: saqueita.jackson.1@15482.direct.athenahealth.com

Organizations & group practices 3

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1760952816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025678",
            "telephone_number": "036-620-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025678",
            "telephone_number": "703-662-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3029 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200322506",
            "country_code": "US",
            "telephone_number": "202-232-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Rhode Island Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200014153",
            "country_code": "US",
            "telephone_number": "301-541-7732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SAQUEITA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15433",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.