Active NPI
Douglas B Nelson, LPC
- Professional Counselor
- Oakton, VA
National Provider Identifier
1023176146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001944
- Practice address
- 3179 Summit Square Drive
Apt C2
Oakton, VA 22124 - Phone
- (954) 789-9061
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11689 | FL | |
| Professional Counselor | 101YP2500X | 0701001944 | VA | Primary |
Addresses
Primary practice location
3179 Summit Square Drive
Apt C2
Oakton, VA 22124
Mailing address
3179 Summit Square Drive
Apt C2
Oakton, VA 22124
Phone (954) 789-9061
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH11689 | FL | MD | Mental Health Counselor |
| 0701001944 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1023176146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3179 SUMMIT SQUARE DRIVE",
"address_2": "APT C2",
"city": "OAKTON",
"state": "VA",
"postal_code": "22124",
"telephone_number": "954-789-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3179 SUMMIT SQUARE DRIVE",
"address_2": "APT C2",
"city": "OAKTON",
"state": "VA",
"postal_code": "22124",
"telephone_number": "954-789-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DOUGLAS",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11689",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.