Active NPI
Richella N Washington, LCPC
- Professional Counselor
- Waldorf, MD
National Provider Identifier
1942636253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC 5251
- Practice address
- 3261 Old Washington Road
Suite 2020
Waldorf, MD 20602 - Phone
- (240) 207-4507
- Fax
- (240) 207-4507
- NPI assigned
- Sep 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 5251 | MD | Primary |
Addresses
Primary practice location
3261 Old Washington Road
Suite 2020
Waldorf, MD 20602
Mailing address
3261 Old Washington Road
Suite 2020
Waldorf, MD 20602
Phone (240) 207-4507
Other practice location 1
16401 Governor Bridge Rd
Suite 106
Bowie, MD 20716-3715
Phone (719) 460-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942636253 | Medicaid | MD |
Other names 1
- Mrs. Richella N Carver
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 5251 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942636253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON ROAD",
"address_2": "SUITE 2020",
"city": "WALDORF",
"state": "MD",
"postal_code": "20602",
"telephone_number": "240-207-4507",
"fax_number": "240-207-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON ROAD",
"address_2": "SUITE 2020",
"city": "WALDORF",
"state": "MD",
"postal_code": "20602",
"telephone_number": "240-207-4507",
"fax_number": "240-207-4507"
}
],
"practiceLocations": [
{
"address_1": "16401 Governor Bridge Rd",
"address_2": "Suite 106",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207163715",
"country_code": "US",
"telephone_number": "719-460-4786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHINGTON",
"first_name": "RICHELLA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LCPC 5251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942636253",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHELLA",
"last_name": "CARVER",
"middle_name": "N",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.