COVENANT HOUSE DC (NPI# 1811372212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811372212 |
| Entity Type | Organization |
| Organization Name | COVENANT HOUSE DC |
| Practice Address |
2001 Mississippi Ave, Se Washington DC 20020 |
| Mailing Address |
2001 Mississippi Ave Se Washington DC 20020-6116 |
| Practice Telephone | 2026109603 |
| Mailing Telephone | 2026109603 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MR. GARRETT MUSHAW (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2026109603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
DC | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
DC | Behavioral Health & Social Service Providers | |
| N | 102L00000X | Psychoanalyst | DC | Behavioral Health & Social Service Providers | |
| N | 103T00000X | Psychologist | DC | Behavioral Health & Social Service Providers | |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
DC | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
DC | Behavioral Health & Social Service Providers | |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
DC | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | DC | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
DC | Behavioral Health & Social Service Providers | |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
DC | Behavioral Health & Social Service Providers |
| Street Address |
2001 MISSISSIPPI AVE, SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754365 | Vikram Surya Chiruvolu | Psychologist | 2032 Belmont Rd Nw Apt 312, Washington, DC 20009-5414 | 2019-05-09 |
| 1144706037 | Stephen Joseph Rossetti | Psychologist | 126 E St Se, Washington, DC 20003-2613 | 2018-07-14 |
| 1548774185 | Nicole Gigi Giordano | Psychologist | 4200 Connecticut Ave Nw Ste 120, Washington, DC 20008-1122 | 2017-11-17 |
| 1285143172 | Erica Shawn Merson | Psychologist | 1555 Connecticut Ave Nw Ste 300, Washington, DC 20036-1125 | 2017-09-24 |
| 1043756224 | Reignite Psychological & Consulting Services, LLC | Psychologist | 2001 Benning Rd Ne, Fl 2, Washington, DC 20002-4728 | 2017-01-12 |
| 1275083701 | Ryan Garrett Robinson | Psychologist | 420 Ridge St Nw, Washington, DC 20001-4622 | 2016-10-07 |
| 1922396167 | John C. Wright | Psychologist | 1 Danall Hall Counseling & Psychiatric Service, 37th & O Streets, Nw, Washington, DC 20057-1105 | 2011-07-20 |
| 1861798670 | Sheetal Patel | Psychologist | 1660 Lanier Pl Nw, #201, Washington, DC 20009-2969 | 2011-01-27 |
| 1558515619 | Kolene Faye Granger | Psychologist | 1415 N Old Course Rd, Washington, UT 84780-1339 | 2008-11-15 |
| 1184884223 | Kathryn Hodges Camicia | Psychologist | 1350 Conn. Ave., N.w., Suite 405, Washington, DC 20036 | 2008-06-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on COVENANT HOUSE DC.
| 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.