Active NPI
Jamie Kanter, LMFT
- Marriage & Family Therapist
- Reston, VA
National Provider Identifier
1154793735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001563
- Practice address
- 11415 Isaac Newton Square South
Reston, VA 20190 - Phone
- (703) 672-3978
- NPI assigned
- Oct 22, 2015
- 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 | 0717001563 | VA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
11415 Isaac Newton Square South
Reston, VA 20190
Mailing address
9480 Main St # 1193
Fairfax, VA 22031-4032
Phone (703) 672-3978
Other practice location 1
1501 Lee Hwy Ste 130
Arlington, VA 22209
Phone (703) 672-3978
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 |
|---|---|---|---|
| 0717001563 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1154793735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 MAIN ST # 1193",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314032",
"telephone_number": "703-672-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11415 ISAAC NEWTON SQUARE SOUTH",
"city": "RESTON",
"state": "VA",
"postal_code": "20190",
"telephone_number": "703-672-3978"
}
],
"practiceLocations": [
{
"address_1": "1501 Lee Hwy Ste 130",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "22209",
"country_code": "US",
"telephone_number": "703-672-3978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANTER",
"first_name": "JAMIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2022-12-02",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001563",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.