Arthur Daniel Square Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008343 Issued in VA

Practice address

14000 Crown CT Ste 101
Woodbridge, VA 22193-1461

Phone

(703) 659-9900

Fax

(571) 285-5686

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

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.

• Prince William County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manassas, VA
  • NPI 1053402800

  Multi-Specialty

  Medicare reassignment NPD
• Prince William County

  • Ambulance
  • Prince William, VA
  • NPI 1235437385
  NPD
• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292

  Professional

  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1255983987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2111",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221952111",
            "telephone_number": "703-409-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931461",
            "telephone_number": "703-659-9900",
            "fax_number": "571-285-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUARE",
        "first_name": "ARTHUR",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "msturdivant@yftva.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14000 Crown Ct Ste 101",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221931461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Springfield Comfort Care, LLC
• Springs of Love Homecare LLC
• Alicia Nicole Spruill
• Archana Srinivasan, DDS
• SSK Healthcare, LLC
• Stafford Healthcare Group
• Joseph Edward Stahl, MD
• Stalwart Home Health LLC

• Professional Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.