Individual provider Active NPI

Fetia Mubarek Reshid

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1851855365
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3747P1801X Issued in DC
Practice address
1444 Rock Creek Ford Rd NW Apt 210
Washington, DC 20011-1755
Phone
(202) 372-6861
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Personal Care Attendant 3747P1801X 3747P1801X DC
Personal Care Attendant 3747P1801X 3747P1801X
Personal Care Attendant 3747P1801X
Addiction (Substance Use Disorder) Counselor 101YA0400X 3747P1801X DC Primary

Addresses

Primary practice location

1444 Rock Creek Ford Rd NW Apt 210
Washington, DC 20011-1755

Mailing address

1444 Rock Creek Ford Rd NW Apt 210
Washington, DC 20011-1755

Other identifiers 1

IdentifierTypeStateIssuer
3747P180XMedicaidDC

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

LicenseStateTypeSpecialty
3747P1801XDCMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1851855365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 ROCK CREEK FORD RD NW APT 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 ROCK CREEK FORD RD NW APT 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111755",
            "telephone_number": "202-372-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESHID",
        "first_name": "FETIA",
        "middle_name": "MUBAREK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "DC",
            "license": "3747P1801X",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": "3747P1801X",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P180X",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.