Active NPI
Logaina Hafez, MA, GCDF
- Mental Health Counselor
- MC Lean, VA
National Provider Identifier
1073137675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1485 Chain Bridge Rd Ste 300
MC Lean, VA 22101-4501 - Phone
- (703) 534-5100
- NPI assigned
- May 31, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1485 Chain Bridge Rd Ste 300
MC Lean, VA 22101-4501
Mailing address
46600 Ellicott SQ Unit 101
Sterling, VA 20165-4323
Phone (703) 463-0392
Other names 1
- Gina Hafez
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunstone Counseling, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1590883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590883200000",
"number": "1073137675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46600 ELLICOTT SQ UNIT 101",
"city": "STERLING",
"state": "VA",
"postal_code": "201654323",
"telephone_number": "703-463-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 CHAIN BRIDGE RD STE 300",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014501",
"telephone_number": "703-534-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFEZ",
"first_name": "LOGAINA",
"credential": "MA, GCDF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-31",
"last_updated": "2020-05-31",
"certification_date": "2020-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "HAFEZ",
"credential": "MA, GCDF",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.