Individual provider Active NPI

Andrew Lynn James, LCMFT

  • Professional Counselor
  • Oxon Hill, MD
National Provider Identifier
1265906390
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCM703 Issued in MD
Practice address
6188 Oxon Hill Rd Ste 500
Oxon Hill, MD 20745-3136
Phone
(301) 567-0400
NPI assigned
Jan 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 LCM703 MD Primary

Addresses

Primary practice location

6188 Oxon Hill Rd Ste 500
Oxon Hill, MD 20745-3136

Mailing address

2111 Jefferson Davis Hwy Apt 513S
Arlington, VA 22202-3119
Phone (813) 785-5710

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
I20240112000601 VA Practitioner - Marriage and Family Therapist 1557712759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Loudoun VirginiaGroup PAC ID 8426039959, 30 clinicians

Practice addresses (Care Compare)

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCM703MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia CurrentSince Nov 18, 2023 Accepting new patients
County of Loudoun, Virginia CurrentSince Nov 18, 2023 Accepting new patients

Locations

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

102 Heritage Way NE
Ste 302
Leesburg, VA 20176
Phone (703) 771-5155

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1265906390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 JEFFERSON DAVIS HWY APT 513S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023119",
            "telephone_number": "813-785-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453136",
            "telephone_number": "301-567-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ANDREW",
        "middle_name": "LYNN",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCM703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.