Alexander Gorodetsky, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14285 Issued in DC

Practice address

1901 Pennsylvania Avenue NW
Suite 602
Washington, DC 20006

Phone

(301) 758-6562

NPI assigned

Dec 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• A Family Friend LLC

  • Professional Counselor
  • Washington, DC
  • NPI 1356864292
  NPD (past) Authorized official

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1780015347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PENNSYLVANIA AVENUE NW",
            "address_2": "SUITE 602",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "301-758-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PENNSYLVANIA AVENUE NW",
            "address_2": "SUITE 602",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "301-758-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODETSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared L Gorman
• Jason Todd Gorman
• Joleah Stiles Gorman, LICSW
• Kameo Lyn Gorman
• Alexandra Smith Gormley, PT, DPT
• Michelle R Gorra, MD
• Shannon Gorrell, FNP-BC
• Tristan L. Gorrindo, MD
• Bethany Grace Gorter
• Erika V Gosai, MD

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.