| Umbrella Therapeutic Services, Inc. | |
|
3300 Pennsylvania Ave Se Washington DC 20020-2408 | |
| (202) 441-7966 | |
| Not Available |
| Full Name | Umbrella Therapeutic Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3300 Pennsylvania Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | James Wesley Jones (CEO) |
| Authorized Official Contact | 2028786626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Therapeutic Services, Inc. 3300 Pennsylvania Ave Se Washington DC 20020-2408 Ph: (202) 441-7966 | Umbrella Therapeutic Services, Inc. 3300 Pennsylvania Ave Se Washington DC 20020-2408 Ph: (202) 441-7966 |
| NPI Number | 1003324864 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 2163787839 |
|---|---|
| Medicare Enrollment ID | O20180530000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003324864 | NPI | - | NPPES |
| Provider Name | Maria R Peko-rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871600288 PECOS PAC ID: 5395830715 Enrollment ID: I20071001000329 |
| Provider Name | Amina Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952725152 PECOS PAC ID: 5991701419 Enrollment ID: I20160607000276 |
| Provider Name | Tony A Gore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780766881 PECOS PAC ID: 7012264575 Enrollment ID: I20180716002326 |
| Provider Name | Vivian Tantoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801363213 PECOS PAC ID: 6901220417 Enrollment ID: I20200716003297 |
| Provider Name | Loveline Njukang Mentonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548622939 PECOS PAC ID: 2860849528 Enrollment ID: I20231117000482 |
| Provider Name | Rosalyn M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962839720 PECOS PAC ID: 8325482268 Enrollment ID: I20240219001773 |
| Provider Name | Joseph D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817268 PECOS PAC ID: 6507200441 Enrollment ID: I20240219001794 |
| Provider Name | Corrie Turpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659873065 PECOS PAC ID: 4688018526 Enrollment ID: I20240219001827 |
| Provider Name | Markia Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811565906 PECOS PAC ID: 9032553979 Enrollment ID: I20240219001842 |
| Provider Name | Dalton T Beckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780871483 PECOS PAC ID: 6901240803 Enrollment ID: I20240220000233 |
| Provider Name | Laquan Womack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487203048 PECOS PAC ID: 0345684247 Enrollment ID: I20240220000286 |
| Provider Name | Jeanette Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689334773 PECOS PAC ID: 3971947870 Enrollment ID: I20240220000348 |
| Provider Name | Cynthia J Folsome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417307 PECOS PAC ID: 0840280970 Enrollment ID: I20240226000011 |
| Provider Name | Courtney Artis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538708235 PECOS PAC ID: 6901241306 Enrollment ID: I20240226000669 |
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