Address: 219 56th Place Ne, Washington, DC 20019

GRACEFULLY FULFILLED COUNSELING AND COACHING SERVICES (NPI# 1568079440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568079440
Entity Type Organization
Practice Address 219 56th Place Ne
DC 20019
Practice Telephone 2029521302
Practice Fax Number 2026842879
Mailing Address 712 H St Ne
DC 20002-3627
Mailing Telephone 2029521302
Mailing Fax Number 2026842879
Certification Date 2020-09-23
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Authorized Official Telephone 4046456289
Authorized Official Credential LPC
Is Organization Subpart Y
Parent Organization Name CL ENTERPRISE, LLC


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1003456419 DC MEDICAID

Other Provider/Organization Names

Other Name Type Code
Gracefully Fulfilled Counseling and Coaching Services Doing Business As Name

Office Location

Street Address 219 56TH PLACE NE
State DC
Zip Code 20019

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1861996597 Gwendolyn Anderson Home Health 420 Minnesota Ave, 287, Washington, DC 20019 2018-03-19
1598398786 Issa Munu Technician - Personal Care Attendant 45th Street Ne, 604, Washington, DC 20019 2020-02-17
1649856634 Brittany Glascoe Counselor 4123 Hunt Pl Se, Washinton Dc, DC 20019 2021-03-22
1255985776 Kemba Kelton Technician - Personal Care Attendant 3204 1/2 East Capitol Street Nw, Washington, DC 20019 2019-08-01
1033735170 Regenia Elizabeth Sayles · Regenia Elizabeth Sayles Home Health Aide 3924 Minnesota Ave Ne Washington, Dc, DC 20019 2020-06-24
1386128924 Kendra Catiea Mccarthur Home Health Aide 4209 East Capitol St Se Apt 4, Washington, DC 20019 2018-09-19
1568939528 Gerri E. Shaw Home Health Aide 3519 Minnesota Ave Se, Apt #101, Washington Dc, DC 20019 2018-10-29
1215582978 Howard University Clinic/Center - Multi-Specialty 4414-4430 Benning Road, Ne, Washington, DC 20019 2019-08-08
1073095543 Carletha Pendarvis Technician - Personal Care Attendant 5037 Drake Place Se, Washington, DC 20019 2018-08-31
1174081434 Kathleen Estelle Williams Nurse's Aide 12045th Street North East, 613, Washington, DC 20019 2019-03-06
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164093357 Lauren Ostapowicz Counselor 50 E Wylie Ave # Units23, Washington, PA 15301-2059 2021-07-08
1144891540 Taylor L Venetian Counselor 50 E Wylie Ave Ste 2&3, Washington, PA 15301-2059 2021-07-07
1215506225 Tasha Milstead Counselor 900 Varney St Se Apt 116, Washington, DC 20032-4314 2021-06-23
1093382756 Cornerstone Kazen Co. Counselor 1835 7th St Nw Ste 126, Washington, DC 20001-3107 2021-06-09
1417532680 Crishone C Johnson Counselor 5448 Bass Pl Se, Washington, DC 20019-6370 2021-03-10
1881289890 Mirta Lisso Carruthers Counselor 6th and Bryant Streets, Washington, DC 20059-0001 2021-03-02
1073105359 Victoria Ashley Altenord Counselor 2501 Good Hope Rd Se, Washington, DC 20020-3011 2021-02-08
1003406315 Lili Johnson Counselor 441 21st St Ne, Washington, DC 20002-4705 2021-01-20
1760084164 Keyona M Fowler Counselor 116 T St Ne Apt 437, Washington, DC 20002-5132 2020-11-10
1952909400 Garrison Dugger Counselor 2502 18th St Se, Washington, DC 20020-3214 2020-10-15
Find all providers in WASHINGTON


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Zip Code 20019

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1780271718 Begin Again Counseling Coaching & Consultant Services LLC Counselor 4190 Peace Rose Pl, Loganville, GA 30052-5112 2020-12-23
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1487241857 Taking Care of Business Counseling & Coaching Services Pllc Psychologist - Clinical 2105 W 18th St, Chicago, IL 60608-1805 2020-12-30
1245820745 Ironmind Counseling & Coaching LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 1120 Centre Tpke, Orwigsburg, PA 17961-9191 2021-01-19
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Dataset Information

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.