Individual provider Active NPI

Madeleine F Mueller, RESIDENT COUNSELOR

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1023859956
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9677 Main St
Fairfax, VA 22031-3763
Phone
(571) 370-3045
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 Primary

Addresses

Primary practice location

9677 Main St
Fairfax, VA 22031-3763

Mailing address

9677 Main St # a-B
Fairfax, VA 22031-3763
Phone (703) 370-3045

Other practice location 1

13608 Bridgeland Ln
Clifton, VA 20124-2302
Phone (571) 370-3045

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

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1023859956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9677 MAIN ST # A-B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313763",
            "telephone_number": "703-370-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9677 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313763",
            "telephone_number": "571-370-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13608 Bridgeland Ln",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "VA",
            "postal_code": "201242302",
            "country_code": "US",
            "telephone_number": "571-370-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MADELEINE",
        "middle_name": "F",
        "credential": "RESIDENT COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "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 4, 2024; 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.