Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health Services, Inc

Organization Counselor · NPI 1609031632

Providence Health Services, Inc provides Counselor services in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 Varnum St NE Ste 100
Washington, DC 20017
Phone: (202) 854-7623
Fax: (202) 854-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence HFD01-0212 (DC)
Counselor Taxonomy 101Y00000X · Licence HFD01-0212 (DC)
Psychologist Taxonomy 103T00000X · Licence HFD01-0212 (DC)
Social Worker Taxonomy 104100000X · Licence HFD01-0212 (DC)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence HFD01-0212 (DC)
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X · Licence HFD01-0212 (DC)

Record details

NPI number1609031632
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Mitchell Lomax — Vice President/Cfo · (667) 234-2926
Other names Phs Outpatient Behavioral Health; Phs Outpatient Behavioral Health
NPI enumeratedJuly 18, 2008
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address1150 Varnum St Ne, St Catherines Hall 102, Washington, DC 20017-2180

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