Individual provider · Type 1 NPI

Jacquetta Burnside

Mental Health Counselor · Washington, DC

NPI number 1699423301 Active

Practice location

1818 New York Ave NE Ste 110
Washington, DC 20002-1849

Call (202) 978-1228 Map

Mailing address

620 Farragut Pl NE
Washington, DC 20017-2361

Other practice locations

  • 12025 Bion Dr, Fort Washington, MD 20744-5106 · (304) 308-7340
  • 18726 S Western Ave Ste 408, Gardena, CA 90248-3858 · (310) 856-0800

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Mental Health Counselor Primary 101YM0800XLGPC200001269 (DC)
Professional Counselor 101YP2500XLGPC200001269 (DC)

Mental Health Counselor: Definition to come...

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About NPI 1699423301

Jacquetta Burnside's National Provider Identifier is 1699423301, issued on Mar 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Washington, DC. The record was last updated on Apr 25, 2026.