Individual provider Active NPI

Ana Goncalves, M.A., MS

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1093116014
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007684 Issued in VA
Practice address
44121 Harry Byrd Hwy Ste 240
Ashburn, VA 20147-5668
Phone
(703) 977-2215
Fax
(571) 410-0218
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701007684 VA Primary

Addresses

Primary practice location

44121 Harry Byrd Hwy Ste 240
Ashburn, VA 20147-5668

Mailing address

44121 Harry Byrd Hwy Ste 240
Ashburn, VA 20147-5668
Phone (703) 977-2215

Other practice location 1

21641 Ridgetop Cir
suite 105
Sterling, VA 20166
Phone (703) 771-5911

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, Master of Science

State licenses

LicenseStateTypeSpecialty
0701007684VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Apgtherapy, LLC CurrentSince Nov 20, 2022 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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1093116014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475668",
            "telephone_number": "703-977-2215",
            "fax_number": "571-410-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY STE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475668",
            "telephone_number": "703-977-2215",
            "fax_number": "571-410-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21641 Ridgetop Cir",
            "address_2": "suite 105",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "20166",
            "country_code": "US",
            "telephone_number": "703-771-5911",
            "fax_number": "571-258-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "ANA",
        "name_prefix": "Mrs.",
        "credential": "M.A., MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.