Individual provider Active NPI

Adrienne Konstantin

  • Counseling Psychologist
  • Fairfax, VA
National Provider Identifier
1003591967
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
3925 Blenheim Blvd Ste 53a
Fairfax, VA 22030-2426
Phone
(703) 972-2388
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

3925 Blenheim Blvd Ste 53a
Fairfax, VA 22030-2426

Mailing address

115 Chester St Ste C
Front Royal, VA 22630-3308
Phone (703) 955-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Counseling and Coaching, LLC CurrentSince Jun 25, 2023 Accepting new patients
Truth Counseling Network, Inc. CurrentSince Jun 25, 2023 Accepting new patients

Locations

115 Chester St
Ste C
Front Royal, VA 22630
Phone (540) 692-3055

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1003591967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHESTER ST STE C",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303308",
            "telephone_number": "703-955-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 BLENHEIM BLVD STE 53A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302426",
            "telephone_number": "703-972-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTIN",
        "first_name": "ADRIENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.