Individual provider Active NPI

Maher Massis

  • Mental Health Counselor
  • Herndon, VA
National Provider Identifier
1023905858
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704018169 Issued in VA
Practice address
13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634
Phone
(571) 665-4025
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704018169 VA Primary
Professional Counselor 101YP2500X 0704018169 VA

Addresses

Primary practice location

13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634

Mailing address

13582 Big Boulder Rd
Herndon, VA 20171-5000
Phone (571) 236-7588

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

LicenseStateTypeSpecialty
0704018169VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Afshar Brothers Inc. Mental Health CurrentSince Jun 29, 2025 Accepting new patients

Locations

13655 Dulles Technology Dr
Ste 120
Herndon, VA 20171
Phone (571) 665-4025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1023905858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13582 BIG BOULDER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715000",
            "telephone_number": "571-236-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 DULLES TECHNOLOGY DR STE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714634",
            "telephone_number": "571-665-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIS",
        "first_name": "MAHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704018169",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704018169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.