MARCELLIS DOMINIQUE WASHINGTON PLPC
NPI 1639780828
Counselor - Professional in Kansas City, MO

Active since August 12, 2020PECOS Enrolled
8010 N ELMWOOD AVE, KANSAS CITY, MO 64119(816) 769-3845 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2021, Sep 10, 2021, Aug 12, 2020 (3 updates tracked since 2020).

About Marcellis Dominique Washington Plpc NPPES

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

MARCELLIS DOMINIQUE WASHINGTON PLPC (NPI 1639780828) is an individual professional provider in Kansas City, Missouri, licensed in Missouri (2021035831) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639780828
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARCELLIS DOMINIQUE WASHINGTONCredential: PLPC
Location Address8010 N ELMWOOD AVEKansas City, MO 64119-8600
Mailing Address4716 Ne 67th StKansas City, MO 64119-7872 · (816) 769-3845
Sole ProprietorNo
Enumeration DateAugust 12, 2020
Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1639780828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2021035831
Also ListedCounselor · SchoolTaxonomy 101YS0200X
8010 N ELMWOOD AVE, Kansas City, MO 64119

Other Identifiers 1

Medicaid1427526466MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcellis Dominique Washington Plpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marcellis Washington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
620 E 18TH ST STE 203
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
8010 N ELMWOOD AVE
KANSAS CITY, MO 64119
Social Worker (Clinical)
8010 N ELMWOOD AVE
KANSAS CITY, MO 64119

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 Marcellis Washington's NPI number?

The NPI number for Marcellis Washington is 1639780828. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Marcellis Washington located?

Marcellis Washington practices at 8010 N Elmwood Ave, Kansas City, MO 64119. The listed phone number is (816) 769-3845.

What is Marcellis Washington's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marcellis Washington enrolled in Medicare?

Yes. Marcellis Washington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcellis Washington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcellis Washington reassigns Medicare benefits to Holly L. Ramaeker (Kansas City, MO). The 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 Marcellis Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcellis Washington accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Medica and Oscar Insurance Company and 1 other insurer list Marcellis Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcellis Washington was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.