Individual provider Active NPI

Chinita Mone'E Colbert

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1962052878
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP13769 Issued in MD
Practice address
2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961
Phone
(301) 701-6965
NPI assigned
Sep 13, 2019
Reactivated
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP13769 MD Primary
Professional Counselor 101YP2500X LGPC200001511 DC

Addresses

Primary practice location

2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961

Mailing address

5230 Tuckerman LN Apt 922
North Bethesda, MD 20852-3862
Phone (301) 213-8347

Other practice location 1

7225 Hanover Pkwy Ste C
Greenbelt, MD 20770-2024
Phone (240) 459-3074

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
LGPC200001511DCMDProfessional Counselor
LGP13769MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Front Counseling PastSince Sep 1, 2019 Accepting new patients

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1962052878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN APT 922",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523862",
            "telephone_number": "301-213-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD STE 204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163961",
            "telephone_number": "301-701-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 Hanover Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702024",
            "country_code": "US",
            "telephone_number": "240-459-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "CHINITA",
        "middle_name": "MONE'E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "deactivation_date": "2023-04-18",
        "reactivation_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13769",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.