Active NPI
Aaron Daniel Bourne
- Professional Counselor
- MC Lean, VA
National Provider Identifier
1144387283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2782
- Practice address
- 1487 Chain Bridge Rd
Suite 300
MC Lean, VA 22101-5723 - Phone
- (301) 910-1762
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004397 | VA | |
| Professional Counselor | 101YP2500X | LC2782 | MD | Primary |
Addresses
Primary practice location
1487 Chain Bridge Rd
Suite 300
MC Lean, VA 22101-5723
Mailing address
9701 51St PL
College Park, MD 20740-1501
Phone (301) 910-1762
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 |
|---|---|---|---|
| LC2782 | MD | MD | Professional Counselor |
| 0701004397 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1144387283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 51ST PL",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207401501",
"telephone_number": "301-910-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 CHAIN BRIDGE RD",
"address_2": "SUITE 300",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015723",
"telephone_number": "301-910-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNE",
"first_name": "AARON",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004397",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.