Individual provider Active NPI

Vanessa Mackall Lal

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1033689898
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2850 Eisenhower Ave Ste 310
Alexandria, VA 22314-4567
Phone
(844) 947-3326
NPI assigned
Dec 4, 2018
Reactivated
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

2850 Eisenhower Ave Ste 310
Alexandria, VA 22314-4567

Mailing address

6905 Victoria Dr Unit C
Alexandria, VA 22310-4358
Phone (703) 409-0942

Other practice location 1

6164 Fuller Ct Ste 2
Alexandria, VA 22310-2540
Phone (703) 463-2433

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Days Insight CurrentSince Oct 23, 2022 Accepting new patients
Wise Mind Solutions, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

6164 Fuller Ct
Ste 2
Alexandria, VA 22310
Phone (703) 463-2433

5810 Kingstowne Ctr
Ste 120279
Alexandria, VA 22315

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1033689898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 VICTORIA DR UNIT C",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223104358",
            "telephone_number": "703-409-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 EISENHOWER AVE STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144567",
            "telephone_number": "844-947-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6164 Fuller Ct Ste 2",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223102540",
            "country_code": "US",
            "telephone_number": "703-463-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "VANESSA",
        "middle_name": "MACKALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.