Individual provider Active NPI

Viktoriya Washington

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1053735860
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5430 Issued in MD
Practice address
10108 Kohler Rd
Silver Spring, MD 20902-5413
Phone
(718) 612-9470
Fax
(718) 612-9470
NPI assigned
Feb 13, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X LC5430 MD Primary

Addresses

Primary practice location

10108 Kohler Rd
Silver Spring, MD 20902-5413

Mailing address

10108 Kohler Rd
Silver Spring, MD 20902-5413
Phone (718) 612-9470

Other practice location 1

10401 Hospital Dr
Ste G-03
Clinton, MD 20735-3110
Phone (301) 856-6000

Other practice location 2

16220 Frederick Rd Ste 502
Gaithersburg, MD 20877-4022
Phone (301) 978-9750

Other identifiers 1

IdentifierTypeStateIssuer
LC5430OtherMDMD LICENSE

Other names 1

  • Viktoriya Bodnar Former name

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

State licenses

LicenseStateTypeSpecialty
LC5430MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Washington Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053735860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 KOHLER RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025413",
            "telephone_number": "718-612-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 KOHLER RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025413",
            "telephone_number": "718-612-9470",
            "fax_number": "718-612-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Hospital Dr",
            "address_2": "STE G-03",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207353110",
            "country_code": "US",
            "telephone_number": "301-856-6000",
            "fax_number": "301-856-8398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16220 Frederick Rd Ste 502",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208774022",
            "country_code": "US",
            "telephone_number": "301-978-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "LC5430",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKTORIYA",
            "last_name": "BODNAR",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.