Active NPI
Patrick Tubbins
- Counselor
- Burke, VA
National Provider Identifier
1053230649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 07001006582
- Practice address
- 5641 Burke Centre Pkwy
Burke, VA 22015-2259 - Phone
- (703) 390-1182
- Fax
- (844) 269-1569
- NPI assigned
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 07001006582 | VA | Primary |
Addresses
Primary practice location
5641 Burke Centre Pkwy
Burke, VA 22015-2259
Mailing address
5433 Crows Nest CT
Fairfax, VA 22032-3302
Phone (504) 957-4670
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1053230649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 CROWS NEST CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220323302",
"telephone_number": "504-957-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5641 BURKE CENTRE PKWY",
"city": "BURKE",
"state": "VA",
"postal_code": "220152259",
"telephone_number": "703-390-1182",
"fax_number": "844-269-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBINS",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "VA",
"license": "07001006582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.