Individual provider Active NPI

Aaron Millen Valdes, LPC

  • Professional Counselor
  • Falls Church, VA
National Provider Identifier
1114004736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004016 Issued in VA
Practice address
701 W Broad St Ste 305
Falls Church, VA 22046-3220
Phone
(703) 533-3302
Fax
(703) 237-2083
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004016 VA Primary

Addresses

Primary practice location

701 W Broad St Ste 305
Falls Church, VA 22046-3220

Mailing address

701 W Broad St Ste 305
Falls Church, VA 22046-3220
Phone (703) 533-3302

Other identifiers 1

IdentifierTypeStateIssuer
239678OtherVAANTHEM HK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 22, 2024 through Nov 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701004016VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Multicultural Human Services Past Accepting new patients
Peak Serenity Counseling & Nutrition LLC Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114004736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463220",
            "telephone_number": "703-533-3302",
            "fax_number": "703-237-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 305",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463220",
            "telephone_number": "703-533-3302",
            "fax_number": "703-237-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "AARON",
        "middle_name": "MILLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HK",
            "identifier": "239678",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.