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ANTONIO JEFFRESS
NPI 1932804911
Peer Specialist in Washington, DC

Active since March 31, 2023
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032(202) 318-0179 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Jeffress NPPES

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

ANTONIO JEFFRESS (NPI 1932804911) is an individual peer specialist in Washington, District Of Columbia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1932804911
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameANTONIO JEFFRESS
Location Address4660 MARTIN LUTHER KING JR AVE SWWashington, DC 20032-4933
Mailing Address4660 Martin Luther King Jr Ave SwWashington, DC 20032-4933 · (202) 318-0179
Phone(202) 318-0179
Sole ProprietorYes
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1932804911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4660 MARTIN LUTHER KING JR AVE SW, Washington, DC 20032
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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.

LINDAMIRA MUFORZA
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 489-0615
LAURYN MANDY
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 318-0179
GEORGETTE DEYONOU
Nurse Practitioner (Psychiatric/Mental Health)
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 318-0179
EDWARD KAMDEM
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 318-0179
KEVIN TISDALE
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 318-0179
HERVE JOEL TCHOKOUAHA WONTCHEU
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 318-0179
COMPLETE CARE MEDICAL SYSTEMS
Clinic/Center
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (202) 574-5136
LAURA EBUDE SUME
Case Manager/Care Coordinator
4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032
District of Columbia (443) 653-2138

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 Antonio Jeffress's NPI number?

The NPI number for Antonio Jeffress is 1932804911. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Antonio Jeffress located?

Antonio Jeffress practices at 4660 Martin Luther King Jr Ave SW, Washington, DC 20032. The listed phone number is (202) 318-0179.

What is Antonio Jeffress's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Antonio Jeffress was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.