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MS. JACQUETTA BURNSIDE
NPI 1699423301
Counselor - Mental Health in Washington, DC

Active since March 11, 2022
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002(202) 978-1228 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2026, Jun 5, 2023, Mar 11, 2022 (3 updates tracked since 2022).

About Ms. Jacquetta Burnside NPPES

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

MS. JACQUETTA BURNSIDE (NPI 1699423301) is an individual mental health provider in Washington, District Of Columbia, licensed in District Of Columbia (LGPC200001269) and active in the NPI registry since March 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699423301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACQUETTA BURNSIDE
Location Address1818 NEW YORK AVE NE STE 110Washington, DC 20002-1849
Mailing Address620 Farragut Pl NeWashington, DC 20017-2361 · (202) 656-8392
Phone(202) 978-1228
Sole ProprietorYes
Enumeration DateMarch 11, 2022
Last NPPES UpdateApril 25, 20263 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1699423301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in DC · LGPC200001269
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LGPC200001269 (DC)
Also ListedBehavior AnalystTaxonomy 103K00000X
1818 NEW YORK AVE NE STE 110, Washington, DC 20002
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Secondary Practice Locations 2

Location 112025 Bion DrFort Washington, MD 20744-5106 · Phone (304) 308-7340
Location 218726 S Western Ave Ste 408Gardena, CA 90248-3858 · Phone (310) 856-0800 · Fax (310) 324-3134

Other Providers at the Same Location NPPES 20

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

JAYLIN BYNUM
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
REMY EBUNG EKANEWANG
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
ATIM TENDOH KIMBENG
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
WELLNESS HEALTH SERVICES, LLC
Home Health
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
MBI TARH AGBORTARH
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
DENNIS ADETOKUNBO
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
MISS SENGE EBUNG
Case Manager/Care Coordinator
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615
KELLY ANYE MIYANG
Registered Nurse
1818 NEW YORK AVE NE STE 110
WASHINGTON, DC 20002
District of Columbia (202) 489-0615

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 Jacquetta Burnside's NPI number?

The NPI number for Jacquetta Burnside is 1699423301. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Jacquetta Burnside located?

Jacquetta Burnside practices at 1818 New York Ave NE Ste 110, Washington, DC 20002. The listed phone number is (202) 978-1228.

What is Jacquetta Burnside's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacquetta Burnside was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.