Active NPI
Lorrie A Mayberry, LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1215979083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003902
- Practice address
- 12721 Darby Brook CT
Suite 102
Woodbridge, VA 22192-2408 - Phone
- (703) 497-1771
- Fax
- (703) 497-1225
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000123 | VA | |
| Professional Counselor | 101YP2500X | 0701003902 | VA | Primary |
Addresses
Primary practice location
12721 Darby Brook CT
Suite 102
Woodbridge, VA 22192-2408
Mailing address
6907 Quander Rd
Alexandria, VA 22307-1657
Phone (703) 721-3635
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188901 | Other | VI | ANTHEM |
| 088656M | Other | VI | SENTARA |
| 2140350 | Other | VA | MDIPA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000123 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701003902 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William Family Counseling, P.C. | Past | Accepting new patients | |
| Woodbridge Therapy Group LLC | Addiction (Substance Use Disorder) | 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.
-
- Mental Health Counselor
- Manassas, VA
- NPI 1205868791
-
- Psychologist
- Woodbridge, VA
- NPI 1427421627
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1215979083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 QUANDER RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223071657",
"telephone_number": "703-721-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12721 DARBY BROOK CT",
"address_2": "SUITE 102",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922408",
"telephone_number": "703-497-1771",
"fax_number": "703-497-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "LORRIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000123",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "188901",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "088656M",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "2140350",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.