Peter Suppa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Phone

(703) 688-8541

NPI assigned

Jul 29, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Family Mental Health of Virginia, LLC

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1962103549
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194554006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 32ND RD S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062000",
            "telephone_number": "954-328-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRINCE WILLIAM PKWY STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927667",
            "telephone_number": "703-688-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPA",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunnycreditrepair
• Sunrise Counseling Services, PLLC
• Sunrise Homecare, LLC
• Jyoti Harsh Supanekar, M.D.
• Superior Care & Support, LLC
• Angela Mary Suraci, BCBA
• Lillian Sutherlin, DPT
• Elena Igorevna Sutphin, PTA
• Lawrence E. Sutton, L.P.C.
• Sweet Virginia Home Health Care LLC

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.