Loudoun Adult Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOUDOUN ADULT COUNSELING LLC

Practice address

11611 Hunters Green CT
Reston, VA 20191-3505

Phone

(703) 981-4265

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Alicea Ardito, LCSWNPI 1700409075

Title

Owner

Phone

(703) 981-4265

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicea Ardito, LCSW

  • Clinical Social Worker
  • Reston, VA
  • NPI 1700409075

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1154905297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 HUNTERS GREEN CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 HUNTERS GREEN CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913505",
            "telephone_number": "703-981-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN ADULT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "ARDITO",
        "authorized_official_first_name": "ALICEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-981-4265",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "11611 Hunters Green Ct",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201913505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Llfaganmd LLC
• Kymberly Logar, LPC
• Amanda Bales Long, LCSW
• Geoffrey Stewart Long, M.D.
• Christin S Loudon, RD
• Loudoun Community Health Center
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC

• Clinical Social Worker in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.