Active NPI
Heidi Friedman, LPC,LMFT
- Professional Counselor
- Manassas, VA
National Provider Identifier
1144305897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001764
- Practice address
- 8140 Ashton Ave
Suite 100
Manassas, VA 20109-5698 - Phone
- (703) 586-3597
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717000325 | VA | |
| Professional Counselor | 101YP2500X | 0701001764 | VA | Primary |
Addresses
Primary practice location
8140 Ashton Ave
Suite 100
Manassas, VA 20109-5698
Mailing address
6312 Adirondack CT
Gainesville, VA 20155-6630
Phone (703) 586-3597
Other practice location 1
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004978277 | Medicaid | VA | |
| 210245 | Other | VA | BLUE CROSS BLUE SHIELD |
| 004945247 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701001764 | VA | MD | Professional Counselor |
| 0717000325 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heidi Friedman, Ma, LPC, LMFT | Current | Accepting new patients |
Locations
8140 Ashton Ave
Ste 100
Manassas, VA 20109
Phone (703) 530-0979
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Manassas, VA
- NPI 1083253389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1144305897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 ADIRONDACK CT",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201556630",
"telephone_number": "703-586-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 ASHTON AVE",
"address_2": "SUITE 100",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201095698",
"telephone_number": "703-586-3597"
}
],
"practiceLocations": [
{
"address_1": "7969 Ashton Ave",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201092885",
"country_code": "US",
"telephone_number": "703-792-7800",
"fax_number": "703-792-5699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "HEIDI",
"name_prefix": "Mrs.",
"credential": "LPC,LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000325",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004978277",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "210245",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945247",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.