Individual provider Active NPI

Mindy Tran Ngu, QMHP-A - RIC

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1013580992
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704006353 Issued in VA
Practice address
4024 Plank Rd
Fredericksburg, VA 22407-4800
Phone
(800) 805-6989
Fax
(877) 282-3019
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704006353 VA Primary

Addresses

Primary practice location

4024 Plank Rd
Fredericksburg, VA 22407-4800

Mailing address

115 Executive Cir
Stafford, VA 22554-7134
Phone (540) 621-1183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710004307 VA Practitioner - Mental Health Counselor 4981149259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704006353VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince Apr 7, 2024 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Apr 7, 2024 Accepting new patients

Locations

4024 Plank Rd
Fredericksburg, VA 22407

322 Neff Ave
Harrisonburg, VA 22801

9274 Corporate Cir
Manassas, VA 20110
Phone (703) 496-7804

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1013580992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE CIR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547134",
            "telephone_number": "540-621-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074800",
            "telephone_number": "800-805-6989",
            "fax_number": "877-282-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGU",
        "first_name": "MINDY",
        "middle_name": "TRAN",
        "credential": "QMHP-A - RIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704006353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.