Individual provider Active NPI

William Connors, LPC

  • Professional Counselor
  • Falls Church, VA
National Provider Identifier
1114512555
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008363 Issued in VA
Practice address
507 Roosevelt Blvd Apt C706
Falls Church, VA 22044-3163
Phone
(202) 834-6646
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 0701008363 VA Primary

Addresses

Primary practice location

507 Roosevelt Blvd Apt C706
Falls Church, VA 22044-3163

Mailing address

507 Roosevelt Blvd Apt C706
Falls Church, VA 22044-3163
Phone (202) 834-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20251126003159 DC Practitioner - Mental Health Counselor 2365934213 Reassigns benefits to 1 organization
I20251203001611 VA Practitioner - Mental Health Counselor 2365934213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008363VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Nov 1, 2025 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.williamconnors@131200.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1114512555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 ROOSEVELT BLVD APT C706",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443163",
            "telephone_number": "202-834-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ROOSEVELT BLVD APT C706",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443163",
            "telephone_number": "202-834-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "WILLIAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.