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 is a Counselor 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1140 Varnum St NE Ste 100
Washington, DC 20017
Phone: (202) 854-7623
Fax: (202) 854-7616
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Washington