Individual provider Active NPI

Gabrielle Harris

  • Mental Health Counselor
  • Dulles, VA
National Provider Identifier
1073968673
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
20725 Wood Quay Dr
Dulles, VA 20166-7050
Phone
(571) 408-9823
NPI assigned
May 2, 2016
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

20725 Wood Quay Dr
Dulles, VA 20166-7050

Mailing address

20725 Wood Quay Dr
Dulles, VA 20166-7050
Phone (571) 408-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250514000833 VA Practitioner - Mental Health Counselor 8820516859 Reassigns benefits to 2 organizations
I20250911002700 DC Practitioner - Mental Health Counselor 8820516859 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
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians
My Psychiatrist, LLCGroup PAC ID 5597898981, 15 clinicians

Practice addresses (Care Compare)

11815 Fountain Way
Suite 300
Newport News, VA 23606-4448
Phone (800) 567-5433

12359 Sunrise Valley Dr
Suite 320
Reston, VA 20191-3463
Phone (703) 596-4796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
My Psychiatrist LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Total Life FL PA Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

6565 Arlington Blvd
Ste 405
Falls Church, VA 22042
Phone (571) 946-2189

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

12359 Sunrise Valley Dr
#32
Reston, VA 20191
Phone (703) 596-4796

12359 Sunrise Valley Dr
Ste 320
Reston, VA 20191
Phone (703) 596-4796

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, 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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1073968673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20725 WOOD QUAY DR",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201667050",
            "telephone_number": "571-408-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20725 WOOD QUAY DR",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201667050",
            "telephone_number": "571-408-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

Verify at the official NPI Registry.