Ellie Zadeh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704015795 Issued in VA

Practice address

3611 Chain Bridge Rd
Fairfax, VA 22030-3246

Phone

(703) 755-0107

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1023874294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SLEDDING HILL RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241540",
            "telephone_number": "703-286-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303246",
            "telephone_number": "703-755-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "ELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Yuth, MD
• Maryam Zaazhoa, DO
• Jennifer Zabel
• Eden Zachariah, R.D.N
• Leila H Zackrison, M.D.
• Kelly Elizabeth Zadow, LPC
• Wissam Sabri Zaeeter, M.D.
• Katherine Bergin Zaepfel, MSW
• Nayab Zafar
• Misbah Zaheer, MD

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.