Individual provider Active NPI

Richard Jon McQuaid, LPC,LPRC

  • Mental Health Counselor
  • Chantilly, VA
National Provider Identifier
1003967076
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004274 Issued in VA
Practice address
4211 Walney Rd
Chantilly, VA 20151-2923
Phone
(703) 227-7100
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC00127400 NJ
Mental Health Counselor 101YM0800X 0701004274 VA Primary

Addresses

Primary practice location

4211 Walney Rd
Chantilly, VA 20151-2923

Mailing address

103 Colonial CT
Locust Grove, VA 22508-5216
Phone (540) 972-0160

Other identifiers 3

IdentifierTypeStateIssuer
RC00123600OtherNJLPRC
0701004274OtherVALPC
PC00127400OtherNJLPC

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

State licenses

LicenseStateTypeSpecialty
PC00127400NJMDMental Health Counselor
0701004274VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia PastSince Jun 25, 2016 Accepting new patients
Insight Psychological Services, PLLC Past Accepting new patients

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1003967076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COLONIAL CT",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225085216",
            "telephone_number": "540-972-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WALNEY RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512923",
            "telephone_number": "703-227-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "RICHARD",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "LPC,LPRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "PC00127400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPRC",
            "identifier": "RC00123600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "0701004274",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "PC00127400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.