NPI 1720145949 · live from the CMS NPI Registry
Behavior Healthcare & Dignostic Services
Marriage & Family Therapist in Washington, DC. National Provider Identifier 1720145949, active.
NPI record
| NPI | 1720145949 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1012 14th St Nw, Suite 1025, Washington, DC 20005 |
| Practice phone | 202-737-6000 |
| Enumerated | January 3, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Emmanuel Olarinde, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, School | 101YS0200X | — |
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist, Family | 103TF0000X | — |
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.