CLAYTON BACCHUS LPC
NPI 1700122934
Counselor - Professional in Washington, DC
About Clayton Bacchus Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAYTON BACCHUS LPC (NPI 1700122934) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (PRC14141) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clayton Bacchus Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clayton Bacchus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20020
- Reassigned Medicare billing, District of Columbia enrollment
- 6 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.
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 Clayton Bacchus's NPI number?
The NPI number for Clayton Bacchus is 1700122934. It was assigned to this individual provider in the NPPES registry on December 16, 2012.
Where is Clayton Bacchus located?
Clayton Bacchus practices at 1315 Taylor St NW, Washington, DC 20011. The listed phone number is (202) 882-5697.
What is Clayton Bacchus's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Clayton Bacchus enrolled in Medicare?
Yes. Clayton Bacchus is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clayton Bacchus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Bacchus reassigns Medicare benefits to Inner City Family Services LLC (Washington, DC). 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 Clayton Bacchus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clayton Bacchus was last updated on December 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Clayton Bacchus, LPC · NPI 1700122934
Professional provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since December 16, 2012.
## Identity
- **NPI:** 1700122934 (Entity type: Individual)
- **Enumerated:** December 16, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PRC14141 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1315 TAYLOR ST NW, Washington, DC 20011-5507
- **Phone:** (202) 882-5697
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inner City Family Services LLC (NPI 1447556600, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** December 16, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1700122934) · Data from the CMS NPPES public registry.