Active NPI
Madeleine F Mueller, RESIDENT COUNSELOR
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1023859956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.