Kristen Anderson, LPC

Individual provider Active NPI Professional Counselor · MC Lean, VA

NPI 1013348291 · NPPES record last updated Dec 12, 2013

Key facts

NPI
1013348291
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701005687 (VA)
Practice address
1761 Old Meadow Rd
MC Lean, VA 22102-4315
Phone
(703) 531-9365
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington County Government Department of Managment and Finance (44 clinicians)

Practice addresses (Care Compare)

2100 Washington Blvd
Arlington, VA 22204-5717
Phone (703) 228-1611

2100 Washington Blvd
Suite 400
Arlington, VA 22204-5703

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240222000602 DC Practitioner - Mental Health Counselor 2466896014 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington County Government Department of Managment & Finance Current
since Oct 23, 2024
Accepting new patients

Locations

2100 Washington Blvd
Fl 4
Arlington, VA 22204
Phone (703) 228-1600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005687 VA Yes

Addresses

Primary practice location

1761 Old Meadow Rd
MC Lean, VA 22102-4315

Mailing address

1761 Old Meadow Rd
MC Lean, VA 22102-4315
Phone (703) 531-9365

Other providers in MC Lean, VA

All providers in MC Lean, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.