Organization Active NPI

Megan E Fellows LPC, Inc.

  • Mental Health Counselor
  • Vienna, VA
National Provider Identifier
1043596497
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004609 Issued in VA
Legal business name
MEGAN E FELLOWS LPC, INC.
Practice address
129 Park St NE
Suite 10-a
Vienna, VA 22180-4603
Phone
(571) 296-0583
Fax
(703) 991-9149
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Megan E Fellows, LPC
Title
Owner
Phone
(571) 296-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0701004609 VA Primary

Addresses

Primary practice location

129 Park St NE
Suite 10-a
Vienna, VA 22180-4603

Mailing address

129 Park St NE
Suite 10-a
Vienna, VA 22180-4603
Phone (571) 296-0583

National Provider Directory

National Provider Directory

Locations

129 Park St NE
Ste 10A
Vienna, VA 22180
Phone (571) 296-0583

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1043596497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PARK ST NE",
            "address_2": "SUITE 10-A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804603",
            "telephone_number": "571-296-0583",
            "fax_number": "703-991-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PARK ST NE",
            "address_2": "SUITE 10-A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804603",
            "telephone_number": "571-296-0583",
            "fax_number": "703-991-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN E FELLOWS LPC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-296-0583",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.