Active NPI
Dijon Washington
- Mental Health Counselor
- Playa del Rey, CA
National Provider Identifier
1891397972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 322 Culver Blvd # 1151
Playa del Rey, CA 90293-7704 - Phone
- (714) 341-9118
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | |||
| Community Health Worker | 172V00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Mental Health Counselor | 101YM0800X | CA | Primary |
Addresses
Primary practice location
322 Culver Blvd # 1151
Playa del Rey, CA 90293-7704
Mailing address
322 Culver Blvd # 1151
Playa del Rey, CA 90293-7704
Phone (714) 341-9118
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurturing Care LLC | Health & Wellness Coach | Current | Accepting new patients |
| Nurturing Group | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712
Organizations & group practices 2
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.
-
- PACE Provider Organization
- Playa del Rey, CA
- NPI 1376229872
Health & Wellness Coach
-
- Case Manager/Care Coordinator
- Riverside, CA
- NPI 1053292342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1891397972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 CULVER BLVD # 1151",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937704",
"telephone_number": "714-341-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 CULVER BLVD # 1151",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937704",
"telephone_number": "714-341-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "DIJON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.