Individual provider Active NPI

Aqueelah Aliyyah Karriem, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1821592171
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14965 Issued in DC
Practice address
920 Bellevue St SE
Washington, DC 20032-6030
Phone
(202) 562-4939
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14965 DC Primary

Addresses

Primary practice location

920 Bellevue St SE
Washington, DC 20032-6030

Mailing address

4714 23Rd Pkwy Apt 4
Temple Hills, MD 20748-4528
Phone (240) 893-6844

Other practice location 1

4714 23rd Pkwy Apt 4
Temple Hills, MD 20748-4528
Phone (240) 893-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC14965DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mbi Health Services LLC CurrentSince Jul 5, 2024 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 1

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1821592171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 23RD PKWY APT 4",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484528",
            "telephone_number": "240-893-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BELLEVUE ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200326030",
            "telephone_number": "202-562-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4714 23rd Pkwy Apt 4",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207484528",
            "country_code": "US",
            "telephone_number": "240-893-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARRIEM",
        "first_name": "AQUEELAH",
        "middle_name": "ALIYYAH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.