Imago Center Washington DC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LGP5845 Issued in MD

Legal business name

IMAGO CENTER WASHINGTON DC

Practice address

10914 Georgia Ave
Apt 117
Silver Spring, MD 20902

Phone

(434) 466-4004

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Twaalfhoven, LGPCNPI 1003325515

Title

Clinical Mental Health Counselor

Phone

(434) 466-4004

Specialties & licenses 1

Addresses

Tax ID family

Imago Center Washington DC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imago Center Washington DC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1508218199
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Courtney Twaalfhoven, LCPC

  • Mental Health Counselor
  • Riverdale, MD
  • NPI 1003325515
  Authorized official Same address or phone

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1932655669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 G ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 GEORGIA AVE",
            "address_2": "APT 117",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "434-466-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGO CENTER WASHINGTON DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "TWAALFHOVEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "434-466-4004",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LGP5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Chimuanya Ike
• Franciel J Ikeji, RD, LD
• Ebenezer Ikujeyisi, PT
• Bradley Illescas
• Illumination Therapy
• Johanna W Imbesi, SLP
• Giovanni Impeduglia, MD
• Calvin Imperio
• Sameera Naureen Imtiaz
• In Touch Physical Therapy LLC

• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.