MR. TUBARUS CHISHOLM LPC NPI 1780088864

NPI Information

NPI: 1780088864
Provider Name: MR. TUBARUS CHISHOLM, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2200 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
Phone: (202) 441-0842
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MR. Tubarus Chisholm, LPC is a professional counselor in Washington, DC. MR. Tubarus Chisholm, LPC NPI is 1780088864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037-709
Phone: (202) 441-0842

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LC3626	MARYLAND	No
2	101YP2500X	Counselor	Professional	PRC14348	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PRC14348	OTHER	DISTRICT OF COLUMBIA	DEPARTMENT OF HEALTH LICENSING
2	LC3626	OTHER	MARYLAND	DEPARTMENT OF HEALTH AND MENTAL HYGIENE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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