Active NPI
Christina Maria Schultz, LPC
- Mental Health Counselor
- Fairfax Station, VA
National Provider Identifier
1174075592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24338
- Practice address
- 8019 Oak Bridge LN
Fairfax Station, VA 22039-3409 - Phone
- (571) 882-2925
- NPI assigned
- Nov 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH24338 | FL | Primary |
Addresses
Primary practice location
8019 Oak Bridge LN
Fairfax Station, VA 22039-3409
Mailing address
334 Willow Winds Pkwy
Saint Johns, FL 32259-7268
Phone (571) 882-2925
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701009908 | Other | VA | LICENSED PROFESSIONAL COUNSELOR |
| 13934780 | Other | CAQH | |
| MH24338 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
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 |
|---|---|---|---|
| MH24338 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Counseling Group, LLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Falls Church, VA
- NPI 1891242624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1174075592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 WILLOW WINDS PKWY",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322597268",
"telephone_number": "571-882-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 OAK BRIDGE LN",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393409",
"telephone_number": "571-882-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "CHRISTINA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "0701009908",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13934780",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "MH24338",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.