Active NPI
Chinita Mone'E Colbert
- Professional Counselor
- Bowie, MD
National Provider Identifier
1962052878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP13769
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LGPC200001511 | DC | MD | Professional Counselor |
| LGP13769 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Front Counseling | Past | 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.
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- Berlin, MD
- NPI 1588102552
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.