Juan Carlos Lagares, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012965 Issued in VA

Practice address

6400 Arlington Blvd Ste 110
Falls Church, VA 22042-2349

Phone

(571) 748-2714

NPI assigned

Sep 23, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1225855125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 HAZELNUT CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512415",
            "telephone_number": "917-557-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD STE 110",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422349",
            "telephone_number": "571-748-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Hazelnut Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201512415",
            "country_code": "US",
            "telephone_number": "917-557-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGARES",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.