Elesia S Vanburen, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CL6068481 Issued in WA

Practice address

8 Bloomington LN
Stafford, VA 22554-7727

Phone

(540) 645-8992

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Willow Tree Counseling, LLC

  • In Home Supportive Care Agency
  • Stafford, VA
  • NPI 1528842440
  NPD Authorized official
• The Willow Tree

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1548683808
  NPD (past) Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1134767155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RICHMOND HWY UNIT 501",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225545095",
            "telephone_number": "540-645-8992",
            "fax_number": "540-288-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BLOOMINGTON LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547727",
            "telephone_number": "540-645-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUREN",
        "first_name": "ELESIA",
        "middle_name": "S",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL6068481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Elizabeth Valiente, MOTR/L
• Romy Fe Haduc Valiente, DDS
• Gabriela Vallejo
• Christopher Robert Van Eyck, PA-C
• Natalie Rose Van Hoven, FNP-BC
• Brittany Vancampenhout
• Abigail Inez-Ellen Vanderpool
• Camila Alicia Vargas
• Vanessa Vazquez
• Jiovana Velasquez

• Mental Health Counselor in Stafford, VA
• Providers in Stafford, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.