INNERCITY COLLABORATIVE COMMUNITY DEVELOPMENT CORPORATION
NPI 1477314011
Counselor in Washington, DC

Q: What is Innercity Collaborative Community Development Corporation's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since January 22, 2024

5219 CALL PL SE, WASHINGTON, DC 20019(240) 304-6822(301) 336-5164 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Innercity Collaborative Community Development Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERCITY COLLABORATIVE COMMUNITY DEVELOPMENT CORPORATION (NPI 1477314011), doing business as Homes With A Real Heart, is a healthcare organization registered as a counselor in Washington, District Of Columbia and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Washington and lists Rev Judie Shepherd-gore, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477314011

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameINNERCITY COLLABORATIVE COMMUNITY DEVELOPMENT CORPORATION

Location Address5219 CALL PL SEWashington, DC 20019-6321

Mailing Address5219 Call Pl SeWashington, DC 20019-6321 · (240) 304-6822 · Fax (301) 336-5164

Phone(240) 304-6822

Fax(301) 336-5164

Organization SubpartNo

Authorized OfficialRev Judie Shepherd-goreExecutive Director · (240) 304-6822

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 20, 2024

✔ NPI 1477314011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

5219 CALL PL SE, Washington, DC 20019

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Other Names 2

Doing Business AsHomes With A Real Heart

Doing Business AsMiracle Temple Non Denominational Church Inc.

Secondary Practice Location 1

Location 15201 Banks Pl NEWashington, DC 20019-6636 · Phone (202) 270-3862

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON J DANIEL LISW

Counselor

5219 CALL PL SE
WASHINGTON, DC 20019

District of Columbia (202) 810-7747

BRENDA SHEPHERD-VERNON LICSW

Counselor

5219 CALL PL SE
WASHINGTON, DC 20019

District of Columbia (202) 584-3103

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 Innercity Collaborative Community Development Corporation's NPI number?

The NPI number for Innercity Collaborative Community Development Corporation is 1477314011. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Homes With A real Heart and Miracle Temple Non Denominational Church Inc..

Where is Innercity Collaborative Community Development Corporation located?

Innercity Collaborative Community Development Corporation is located at 5219 Call Pl SE, Washington, DC 20019. The listed phone number is (240) 304-6822.

What is Innercity Collaborative Community Development Corporation's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Innercity Collaborative Community Development Corporation was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.