Healthcare Provider Details

I. General information

NPI: 1235065814
Provider Name (Legal Business Name): LEXI LEE OETTERER LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ONTARIO RD NW
WASHINGTON DC
20009-2812
US

IV. Provider business mailing address

2523 14TH ST NW
WASHINGTON DC
20009-7909
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-0904
  • Fax:
Mailing address:
  • Phone: 202-234-0904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200001946
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: