Healthcare Provider Details

I. General information

NPI: 1447175179
Provider Name (Legal Business Name): KARA KOCHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 WISCONSIN AVE STE 410
BETHESDA MD
20814-4810
US

IV. Provider business mailing address

3713 INGOMAR ST NW
WASHINGTON DC
20015-1819
US

V. Phone/Fax

Practice location:
  • Phone: 202-669-5668
  • Fax:
Mailing address:
  • Phone: 202-669-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLG200002551
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: