KELLY E REDDIX (NPI# 1487151742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487151742 |
| Entity Type | Individual |
| Full Name | KELLY E REDDIX |
| Practice Address |
4228 Wisconsin Ave Nw Washington DC 20016-2138 |
| Mailing Address |
1212 4th St Se Apt 706 Washington DC 20003-3496 |
| Practice Telephone | 2028855600 |
| Mailing Telephone | 6012097577 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LGPC00341 | DC | Behavioral Health & Social Service Providers |
| Street Address |
4228 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549949 | Wisconsin Ave Psychiatric Center Inc | Psychiatry & Neurology | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2006-05-26 |
| 1679187793 | Germain Ndjomo Angu | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2020-09-04 |
| 1174144034 | Obinna Prince Okafor | Registered Nurse | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2020-05-01 |
| 1144781196 | Gaelle Matingeh Nyasa | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2019-03-30 |
| 1790150258 | Lartoniah Hassan | Nurse Practitioner | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-12-09 |
| 1801279393 | Wisconsin Ave Psychiatric Center Inc | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-07-02 |
| 1841687506 | Umair Daimee | Psychiatry & Neurology | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2015-04-21 |
| 1346645421 | Andrea Finch | Counselor | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2014-10-30 |
| 1154760387 | Wisconsin Avenue Psychiatric Center | Psychologist | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2013-06-20 |
| 1427493121 | Barbara Perez | Social Worker | 4228 Wisconsin Ave Nw, Washington, DC 20016-2138 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909400 | Garrison Dugger | Counselor | 2502 18th St Se, Washington, DC 20020-3214 | 2020-10-15 |
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1487260576 | Andre Ruth-el | Counselor | 1725 I St Nw # Dc, Washington, DC 20006-2403 | 2020-09-23 |
| 1093322125 | Shannarese Sims | Counselor | 1615 Franklin St Ne Apt 305, Washington, DC 20018-2041 | 2020-09-23 |
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1497367973 | Naimah Zakiyyah Saleem | Counselor | 5205 A St Se, Washington, DC 20019-6434 | 2020-08-17 |
| 1710596473 | Aubrey Rainbow | Counselor | 4005 Wisconsin Ave Nw, Washington, DC 20016-7774 | 2020-07-29 |
| 1225646250 | Darneya Latoya Monk | Counselor | 1514 Fort Davis St Se, Washington, DC 20020-6026 | 2020-07-15 |
| 1841818754 | Sarah May Gaudreau | Counselor | 6604 2nd St Nw, Washington, DC 20012-2130 | 2020-07-07 |
| 1134745219 | Joshua White | Counselor | 2800 Woodley Rd Nw Apt 18, Washington, DC 20008-4163 | 2020-06-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.