Individual provider Active NPI

Martha F Fischer, LMFT

  • Marriage & Family Therapist
  • Herndon, VA
National Provider Identifier
1003362773
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001395 Issued in VA
Practice address
425 Carlisle Dr Ste a
Herndon, VA 20170-5618
Phone
(703) 867-8135
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001395 VA Primary

Addresses

Primary practice location

425 Carlisle Dr Ste a
Herndon, VA 20170-5618

Mailing address

10712 Cross School Rd
Reston, VA 20191-5106
Phone (703) 867-8135

Other practice location 1

405 North Washington Street Suite 101
Falls Church, VA 22046-5205
Phone (703) 867-8135

Other practice location 2

459B Carlisle Drive
Herndon, VA 20170-5205
Phone (703) 867-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0717001395VAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1003362773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 CROSS SCHOOL RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915106",
            "telephone_number": "703-867-8135",
            "fax_number": "703-867-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CARLISLE DR STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705618",
            "telephone_number": "703-867-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 North Washington Street Suite 101",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220465205",
            "country_code": "US",
            "telephone_number": "703-867-8135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459B Carlisle Drive",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201705205",
            "country_code": "US",
            "telephone_number": "703-867-8135",
            "fax_number": "703-867-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "MARTHA",
        "middle_name": "F",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.