Individual provider Active NPI

Renata M Powell, LCPC

  • Professional Counselor
  • Millersville, MD
National Provider Identifier
1881946366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4489 Issued in MD
Practice address
8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone
(410) 768-6088
Fax
(410) 768-6444
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LC4489 MD Primary
Professional Counselor 101YP2500X PRC14317 DC

Addresses

Primary practice location

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564

Mailing address

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone (410) 768-6088

Other practice location 1

1221 Taylor St NW
Washington, DC 20011-5617
Phone (202) 464-9200 ext. 231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231204000872 DC Practitioner - Mental Health Counselor 1759739337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC14317DCMDProfessional Counselor
LC4489MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881946366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Taylor St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115617",
            "country_code": "US",
            "telephone_number": "202-464-9200 x231",
            "fax_number": "202-464-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "RENATA",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4489",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.