Active NPI
Sindhura Elagandhala
- Professional Counselor
- McLean, VA
National Provider Identifier
1043937857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0704015352
- Practice address
- 1311 Dolley Madison Blvd BLDG a
MC Lean, VA 22101-3937 - Phone
- (571) 536-7741
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704015352 | VA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1311 Dolley Madison Blvd BLDG a
MC Lean, VA 22101-3937
Mailing address
8133 Leesburg Pike Ste 130
Tysons, VA 22182-2706
Other practice location 1
8133 Leesburg Pike Ste 130
Tysons, VA 22182-2706
Phone (720) 938-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
803 Sunken Rd
Fredericksburg, VA 22401-5401
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704015352 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayrielle Williams, LLC | Mental Health | Current | Accepting new patients |
| Peaceful Place | Mental Health | Current | Accepting new patients |
Locations
8133 Leesburg Pike
Ste 130
Vienna, VA 22182
Phone (703) 682-0163
Organizations & group practices 3
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": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1043937857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8133 LEESBURG PIKE STE 130",
"city": "TYSONS",
"state": "VA",
"postal_code": "221822706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 DOLLEY MADISON BLVD BLDG A",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013937",
"telephone_number": "571-536-7741"
}
],
"practiceLocations": [
{
"address_1": "8133 Leesburg Pike Ste 130",
"address_purpose": "LOCATION",
"city": "Tysons",
"state": "VA",
"postal_code": "221822706",
"country_code": "US",
"telephone_number": "720-938-0507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELAGANDHALA",
"first_name": "SINDHURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704015352",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.