Lauren Nutt Aigner, LPC
Individual provider Active NPI Professional Counselor · Manassas, VA
NPI 1174699136 · NPPES record last updated Nov 8, 2018
Key facts
- NPI
- 1174699136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701003268 (VA)
- Practice address
- 7969 Ashton Ave
Manassas, VA 20109-2885 - Phone
- (703) 792-7800
- Fax
- (703) 792-5699
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003268 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Professional Counseling Center | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003268 | VA | Yes |
Addresses
Primary practice location
7969 Ashton Ave
Manassas, VA 20109-2885
Mailing address
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
Other practice location 1
7450 Heritage Village Plz Unit 101
Gainesville, VA 20155-3091
Phone (571) 261-1921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292728 | Other | VA | AMERIGROUP |
| 4945247 | Medicaid | VA |
Other providers in Manassas, VA
- Khatira Amir Ahmadzai
- Azza Khattab Hassan Ahmed
- Rizwan Ahmed
- Peter Juhee Ahn
- Enyonam Aidoo
- Aja Home Health Care LLC
- Yazid Ajape
- Tokunbo Ajayi
- Sheetal Ajmani
- Aka LLC
All providers in Manassas, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.