Active NPI
Laura Dine Mbeng, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1912692609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC200002191
- Practice address
- 4545 42ND St NW Ste 105
Washington, DC 20016-4623 - Phone
- (571) 236-4880
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC200002191 | DC | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
4545 42ND St NW Ste 105
Washington, DC 20016-4623
Mailing address
4530 Wisconsin Ave NW
Washington, DC 20016-4627
Phone (202) 536-4414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4530 Wisconsin Ave NW
Suite 300
Washington, DC 20016-4606
Phone (202) 536-4414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1912692609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164627",
"telephone_number": "202-536-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 42ND ST NW STE 105",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164623",
"telephone_number": "571-236-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBENG",
"first_name": "LAURA",
"middle_name": "DINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC200002191",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.