Karen J Berube, LCSW

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Springfield, VA

NPI 1033205802 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033205802
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
8001 Forbes Place
Springfield, VA 22151
Phone
(703) 321-2600
Fax
(703) 321-2603
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
904003766VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X VA Yes

Addresses

Primary practice location

8001 Forbes Place
Springfield, VA 22151

Mailing address

8001 Forbes Place
Springfield, VA 22151
Phone (703) 321-2600

Other identifiers

IdentifierTypeStateIssuer
8912467MedicaidVA

Other providers in Springfield, VA

All providers in Springfield, VA · Addiction (Substance Use Disorder) Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.