Individual provider Active NPI

Fernando Saavedra

  • Addiction (Substance Use Disorder) Counselor
  • Leesburg, VA
National Provider Identifier
1063826105
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
102 Heritage Way NE Ste 302
Suite 302
Leesburg, VA 20176-4544
Phone
(703) 771-5100
NPI assigned
Jun 17, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

102 Heritage Way NE Ste 302
Suite 302
Leesburg, VA 20176-4544

Mailing address

12205 Lincoln Lake Way
Apt 5208
Fairfax, VA 22030-7769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202001621 VA Practitioner - Mental Health Counselor 6901399625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Loudoun VirginiaGroup PAC ID 8426039959, 30 clinicians

Practice addresses (Care Compare)

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia CurrentSince Oct 17, 2025 Accepting new patients
County of Loudoun, Virginia CurrentSince Oct 17, 2025 Accepting new patients

Locations

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

102 Heritage Way NE
Ste 302
Leesburg, VA 20176
Phone (703) 771-5155

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

21641 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (571) 680-3861

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1063826105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 LINCOLN LAKE WAY",
            "address_2": "APT 5208",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HERITAGE WAY NE STE 302",
            "address_2": "SUITE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764544",
            "telephone_number": "703-771-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.