Individual provider Active NPI

Lynetta McClam

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1962179051
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC200001323 Issued in DC
Practice address
1200 G St NW
Washington, DC 20005-3814
Phone
(202) 935-2005
NPI assigned
Aug 26, 2021
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 PRC200001323 DC Primary

Addresses

Primary practice location

1200 G St NW
Washington, DC 20005-3814

Mailing address

1200 G St NW
Washington, DC 20005-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128000562 DC Practitioner - Mental Health Counselor 8224516703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

6700 Race Track Rd
Bowie, MD 20715-3009
Phone (301) 383-2581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC200001323DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

12501 Prosperity Dr
Ste 160
Silver Spring, MD 20904
Phone (240) 624-2330

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mcclam.lynetta@ca-md.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1962179051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 G ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 G ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053814",
            "telephone_number": "202-935-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAM",
        "first_name": "LYNETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200001323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.