HISTORIC HEALTHCARE SERVICES
NPI 1306797352
Counselor - Mental Health in Washington, DC
About Historic Healthcare Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HISTORIC HEALTHCARE SERVICES (NPI 1306797352) is a healthcare organization registered as a mental health in Washington, District Of Columbia and active in the NPI registry since February 2026. The organization lists Joebrian Lemnyuytar, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Historic Healthcare Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Historic Healthcare Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Historic Healthcare Services's NPI number?
The NPI number for Historic Healthcare Services is 1306797352. It was assigned to this organization in the NPPES registry on February 5, 2026.
Where is Historic Healthcare Services located?
Historic Healthcare Services is located at 1629 K St NW, Washington, DC 20006. The listed phone number is (240) 495-8331.
What is Historic Healthcare Services's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Historic Healthcare Services enrolled in Medicare?
Yes. Historic Healthcare Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Historic Healthcare Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Historic Healthcare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Historic Healthcare Services was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Historic Healthcare Services · NPI 1306797352
Mental Health organization in Washington, District of Columbia. Organization record, active in the CMS NPPES registry since February 5, 2026.
## Identity
- **NPI:** 1306797352 (Entity type: Organization)
- **Enumerated:** February 5, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Joebrian Lemnyuytar, CEO
## Practice location
- **Address:** 1629 K ST NW, Washington, DC 20006-1602
- **Phone:** (240) 495-8331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306797352) · Data from the CMS NPPES public registry.