Kim Arellano
Individual provider Active NPI Marriage & Family Therapist · Woodbridge, VA
NPI 1194351247 · NPPES record last updated Mar 20, 2020
Key facts
- NPI
- 1194351247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 1308 Devils Reach Rd
Woodbridge, VA 22192-2806 - Phone
- (703) 492-2994
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 17, 2024 through Apr 17, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | VA | Yes |
Addresses
Primary practice location
1308 Devils Reach Rd
Woodbridge, VA 22192-2806
Mailing address
7309 Scarlet Oak CT
Fairfax Station, VA 22039-1928
Other providers in Woodbridge, VA
- Ar Medical Supplies LLC
- Uswa Arain
- Aster Araya
- Adriana Arce
- Areesh Medical Supply LLC
- Mala Thakur Arguello
- Yazary Argueta
- Aria Dermatology LLC
- Nilofar Ariasaif
- Ark Healthcare Services, Inc.
All providers in Woodbridge, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.