Individual provider Active NPI

Anindita Dwivedi

  • Professional Counselor
  • Lansdowne, VA
National Provider Identifier
1134988710
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013384 Issued in VA
Practice address
19415 Deerfield Ave Ste 101
Lansdowne, VA 20176-8470
Phone
(703) 679-1389
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 0701013384 VA Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 101
Lansdowne, VA 20176-8470

Mailing address

19415 Deerfield Ave Ste 101
Lansdowne, VA 20176-8470
Phone (703) 679-1389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002033 VA Practitioner - Mental Health Counselor 2365881786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth for Tomorrow New Life Center, Inc. Professional CurrentSince Mar 12, 2024 Accepting new patients

Locations

11835 Hazel Circle Dr
Bristow, VA 20136
Phone (703) 368-7995

6611 Jefferson St
Fl 1
Haymarket, VA 20169
Phone (703) 659-9900

14000 Crown Ct
Ste 101
Woodbridge, VA 22193
Phone (703) 659-9900

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1134988710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 101",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-679-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 101",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-679-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "ANINDITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.