Active NPI
Audra Irene Mrini, LPC
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1093177644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701007913
- Practice address
- 10375B Democracy Lane
Fairfax, VA 22030 - Phone
- (703) 639-8627
- Fax
- (703) 821-2505
- NPI assigned
- Mar 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Mental Health Counselor | 101YM0800X | 0701007913 | VA | Primary |
Addresses
Primary practice location
10375B Democracy Lane
Fairfax, VA 22030
Mailing address
10375B Democracy Lane
Fairfax, VA 22030
Phone (703) 639-8627
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007913 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1093177644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10375B DEMOCRACY LANE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-639-8627",
"fax_number": "703-821-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10375B DEMOCRACY LANE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-639-8627",
"fax_number": "703-821-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRINI",
"first_name": "AUDRA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701007913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
- Mary Moussa, LPC, CSAC
- Kristin L. Russell Mouttet, M.S. , LMFT
- Elizabeth Smith Moynahan, PHARM D
- John J. Moynihan, M.D.
- Matthew J Moynihan, M.D.
- Mt.Zion Nursing Companies LLC (Mt.Zion Nursing Companies)
- Mwende Mualuko, PHD
- Suheil J Muasher, MD
- Vivian Lee Muccio
- Madeleine F Mueller, RESIDENT COUNSELOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.