Individual provider Active NPI

Richella N Washington, LCPC

  • Professional Counselor
  • Waldorf, MD
National Provider Identifier
1942636253
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC 5251 Issued in MD
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1942636253MedicaidMD

Other names 1

  • Mrs. Richella N Carver Former name

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

LicenseStateTypeSpecialty
LCPC 5251MDMDProfessional 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.

Verify at the official NPI Registry.