Active NPI
Tsigereda Negash
- Professional Counselor
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14940
- Practice address
- 4545 42ND St NW # 7090198
Washington, DC 20016-4623 - Phone
- (202) 709-0198
- NPI assigned
- May 27, 2015
- 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 | 0701008522 | VA | |
| Professional Counselor | 101YP2500X | PRC14940 | DC | Primary |
Addresses
Primary practice location
4545 42ND St NW # 7090198
Washington, DC 20016-4623
Mailing address
14 Fordham Road
Alloston, MA 03125-2075
Phone (781) 302-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932588696 | Medicaid | MA | |
| N/A | Other | MA | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14940 | DC | MD | Professional Counselor |
| 0701008522 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Health | Current | Accepting new patients | |
| Blue Moon Senior Counseling of California LLC | Current | Accepting new patients |
Locations
39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133
40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133
1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065
3055 McKee Rd
San Jose, CA 95127
Phone (408) 251-2477
1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
Interoperability endpoints
- tnegash749769@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1780054379
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1447678990
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1932588696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FORDHAM ROAD",
"city": "ALLOSTON",
"state": "MA",
"postal_code": "031252075",
"telephone_number": "781-302-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 42ND ST NW # 7090198",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164623",
"telephone_number": "202-709-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGASH",
"first_name": "TSIGEREDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008522",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932588696",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "N/A",
"state": "MA"
}
],
"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 Oct 24, 2023; 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.