NPIMap

Organization Active NPI

Capitolhill Consortium for Counseling & Consultation, LLC

Doing business as CCCC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1992965552
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAPITOLHILL CONSORTIUM FOR COUNSELING & CONSULTATION, LLC
Doing business as
CCCC
CCCC LLC
Practice address
650 Pennsylvania Ave SE
Ste 440
Washington, DC 20003-4424
Phone
(202) 544-5440
Fax
(202) 544-3004
NPI assigned
Jun 16, 2008
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Mr. William Rice
Title
Business Director
Phone
(202) 674-1227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY1526 DC
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE
Ste 440
Washington, DC 20003-4424

Mailing address

650 Pennsylvania Ave SE
Ste 440
Washington, DC 20003-4424
Phone (202) 544-5440

Other practice location 1

1400 Mercantile Ln Ste 252
Upper Marlboro, MD 20774-5333
Phone (202) 544-5440

Other practice location 2

1235 S Clark St Ste 510
Arlington, VA 22202-4362
Phone (202) 544-5440

Other names 3

  • CCCC Doing business as
  • CCCC LLC Doing business as
  • C.C.C.C., LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000254 DC Part B Supplier - Clinic/Group Practice 1951602796 Receives reassigned benefits from 40 practitioners
Practice locations: Arlington, VA; Glenn Dale, MD; Silver Spring, MD; Upper Marlboro, MD; Washington, DC

National Provider Directory

National Provider Directory

Locations

650 Pennsylvania Ave SE
Ste 240
Washington, DC 20003
Phone (202) 544-1751

1400 Mercantile Ln
Ste 252
Upper Marlboro, MD 20774
Phone (240) 553-1534

1235 S Clark St
Ste 510
Arlington, VA 22202
Phone (703) 413-3028

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1992965552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034424",
            "telephone_number": "202-544-5440",
            "fax_number": "202-544-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034424",
            "telephone_number": "202-544-5440",
            "fax_number": "202-544-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Mercantile Ln Ste 252",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745333",
            "country_code": "US",
            "telephone_number": "202-544-5440",
            "fax_number": "202-544-3004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 S Clark St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222024362",
            "country_code": "US",
            "telephone_number": "202-544-5440",
            "fax_number": "202-544-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITOLHILL CONSORTIUM FOR COUNSELING & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "202-674-1227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1526",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCCC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "C.C.C.C., LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.