David A Lipsey, LMHC
Individual provider Active NPI Mental Health Counselor · Great Falls, VA
NPI 1245877687 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1245877687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0701011431 (VA)
- Practice address
- 9893 Georgetown Pike
Great Falls, VA 22066-2617 - Phone
- (201) 563-2953
- NPI assigned
- Dec 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011431 | VA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701011431 | VA | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
9893 Georgetown Pike
Great Falls, VA 22066-2617
Mailing address
9893 Georgetown Pike
PMB# 508
Great Falls, VA 22066
Phone (201) 563-2953
Other practice location 1
50 W 97th St Apt 1B
New York, NY 10025-6004
Phone (201) 563-2953
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All providers in Great Falls, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.