MICHELLE PENDERGRAPH
MICHELLE PENDERGRAPH-LIGGENS · Counselor

Address: 440 Taylor St Ne Bldg E, Washington, DC 20017-1544

MICHELLE PENDERGRAPH (NPI# 1710538541) 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) 1710538541
Entity Type Individual
Full Name MICHELLE PENDERGRAPH
Other Name MICHELLE PENDERGRAPH-LIGGENS (Former Name)
Gender Female
Practice Address 440 Taylor St Ne Bldg E
Washington
DC 20017-1544
Practice Telephone 2023653727
Mailing Address 5349 C St Se
Washington
DC 20019-6323
Mailing Telephone 2023653727
Enumeration Date 2019-09-23
Last Update Date 2019-09-23
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
06101966 PARTICIPANT DIRECTED WORKER Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL Washington (cell phone) Consumer Direct District of Columbia 440 Taylor St Ne Bldg E, Washington, DC 200171544 Health Information Exchange (HIE) CSV

Office Location

Street Address 440 TAYLOR ST NE BLDG E
City WASHINGTON
State DC
Zip Code 20017-1544

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477064749 Latara Lassiter Home Health Aide 440 Taylor St Ne, Washington, DC 20017-1544 2017-10-13

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1144671603 Paulette Clayton Home Health Aide 1731 Bunker Hill Road, Ne, Hsc Home Care, LLC, Washington, DC 20017 2016-06-27
1568727956 Tigest Tesfawe Home Health Aide 3011 7th Ne, Washington, DC 20017 2012-07-11
1750835435 Marie Hortense Mabou Sando Home Health Aide 1416 9th Street Nwdc, Washington, DC 20017 2016-08-10
1588907299 Manal Peracha-Riyaz Ophthalmology 1160 Varnum St Ne Ste 11, Washington, DC 20017 2013-04-01
1487183810 Valerie Anne Pierre Emergency Medicine 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 2017-06-08
1639600984 Liliana Tatum Counselor - Professional 1428 Hamlin Street Ne, Washington, DC 20017 2017-03-27
1134638042 Jane Hayashi-Kim Speech-Language Pathologist 3910 9th St Ne, Apartment 3, Washington, DC 20017 2017-09-22
1548577505 My Parent's Homes,Llc Community Based Residential Treatment Facility, Mental Illness 1235 Irving Street,Ne, Washington, DC 20017 2010-09-10
1447572094 Gerald P. Batipps, Md, PC Specialist 1140 Varnum Street, Ne, 208-A, Washington, DC 20017 2010-02-24
1063764553 Patience Walajieh Cho Home Health Aide 611 Edgewood St Ne, Washington, DC 20017 2012-10-08
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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
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Competitor

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City WASHINGTON
Zip Code 20017

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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.