Capitolhill Consortium for Counseling & Consultation, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Washington, DC
NPI 1992965552 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1992965552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CAPITOLHILL CONSORTIUM FOR COUNSELING & CONSULTATION, 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
- Organization subpart
- No
Authorized official
- Name
- Mr. William Rice
- Title
- Business Director
- Phone
- (202) 674-1227
Practitioners 66
-
Thuy-Van V. Duckett-Beauford, LICSW
-
Cynthia Elaine Harris, DHA, MSW
-
Robert Mays, LICSW
-
Kevin Dana Morton, LICSW
-
Steven Lyle Nicholson, LCSW, LICSW
-
Ximena Radjenovic, PH.D.
-
Gina Sangster, LICSW LCSW-C
-
Jasmine Marie Stephens, LGSW
-
Kamilah Marie Woodson, PH.D
-
Olushola Adewumi, PSYD
-
Vivian Audrey Clark, LCSW,LISW-CP
-
Deborah Louise Cunningham, LICSW
-
Jessica Robinson Saalfield, MSW, LICSW
-
Eileen Grady Vermilye, LICSW, LCSW-C
-
Elizabeth Belanger, LICSW
-
Barbara Jean Brown, PHD
-
Anjelica E Jackson Todd, PSY.D.
-
Jessica Gail Kessler, LICSW
-
Joseph Carlos Melendez, LICSW
-
Theresa Nowakowski, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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) 324-8968
1235 S Clark St
Ste 510
Arlington, VA 22202
Phone (703) 413-3028
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PSY1526 | DC | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
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
1235 S Clark St Ste 510
Arlington, VA 22202-4362
Phone (202) 544-5440
Other practice location 2
1400 Mercantile Ln Ste 252
Upper Marlboro, MD 20774-5333
Phone (202) 544-5440
Other names
- CCCC
- CCCC LLC
- C.C.C.C., LLC
Other providers in Washington, DC
- Capitol Region Children'S Center
- Capitol Region Children'S Center
- Capitol SC LLC
- Capitol Vascular Care PLLC
- Capitol View Home Healthcare Agency
- Capna Healthcare LLC
- Samantha Capozza
- Alayna Marie Cappelli
- Marc J Capra
- Capsule DC LLC
All providers in Washington, DC · Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.