Individual provider Active NPI

Candice McKinney, LPC

  • Professional Counselor
  • Reston, VA
National Provider Identifier
1194378836
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008520 Issued in VA
Practice address
1875 Campus Commons Dr Ste 210
Reston, VA 20191-1567
Phone
(703) 261-9201
Fax
(888) 322-5720
NPI assigned
Jul 22, 2019
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008520 VA Primary

Addresses

Primary practice location

1875 Campus Commons Dr Ste 210
Reston, VA 20191-1567

Mailing address

1875 Campus Commons Dr Ste 210
Reston, VA 20191-1567
Phone (703) 261-9201

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

LicenseStateTypeSpecialty
0701008520VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Counseling, Inc. CurrentSince Jul 28, 2019 Accepting new patients

Locations

11250 Roger Bacon Dr
Ste 5
Reston, VA 20190
Phone (571) 299-8616

1875 Campus Commons Dr
Ste 210
Reston, VA 20191
Phone (571) 308-8252

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1194378836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CAMPUS COMMONS DR STE 210",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911567",
            "telephone_number": "703-261-9201",
            "fax_number": "888-322-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CAMPUS COMMONS DR STE 210",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911567",
            "telephone_number": "703-261-9201",
            "fax_number": "888-322-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CANDICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008520",
            "primary": true
        }
    ],
    "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 Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.