CLAYTON BACCHUS LPC
NPI 1700122934
Counselor - Professional in Washington, DC

Q: 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.

Q: What is Clayton Bacchus's specialty?

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

Q: 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.

Active since December 16, 2012PECOS Enrolled

1315 TAYLOR ST NW, WASHINGTON, DC 20011(202) 882-5697 Get Directions Write a Review

NPPES record last updated: December 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1700122934

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameCLAYTON BACCHUSCredential: LPC

Location Address1315 TAYLOR ST NWWashington, DC 20011-5507

Mailing Address1315 Taylor St NwWashington, DC 20011-5507 · (202) 882-5697

Phone(202) 882-5697

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 16, 2012

✔ NPI 1700122934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in DC · PRC14141

1315 TAYLOR ST NW, Washington, DC 20011

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clayton Bacchus Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315187473

PECOS Enrollment IDI20251014002658

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.

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.

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.