Individual provider Active NPI

Heejin Yun

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1215709175
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015363 Issued in VA
Practice address
43804 Trackside Ter
Ashburn, VA 20147-7259
Phone
(773) 658-2093
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 0701015363 VA Primary

Addresses

Primary practice location

43804 Trackside Ter
Ashburn, VA 20147-7259

Mailing address

43804 Trackside Ter Apt 204
Ashburn, VA 20147-7261
Phone (773) 658-2093

Other practice location 1

20931 Ashburn Rd Ste 245
Ashburn, VA 20147-5747
Phone (571) 317-0856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224003071 VA Practitioner - Mental Health Counselor 5193206621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43804 Trackside Ter
Apt 204
Ashburn, VA 20147-7259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015363VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yun Way Counseling LLC Professional CurrentSince Jan 26, 2026 Accepting new patients
Loudoun Psychotherapy and Counseling Services LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1215709175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43804 TRACKSIDE TER APT 204",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477261",
            "telephone_number": "773-658-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43804 TRACKSIDE TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477259",
            "telephone_number": "773-658-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20931 Ashburn Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201475747",
            "country_code": "US",
            "telephone_number": "571-317-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUN",
        "first_name": "HEEJIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.