Active NPI
Marguerite Cope Hursh, LPC
- Professional Counselor
- Centreville, VA
National Provider Identifier
1275627861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002921
- Practice address
- 5675 Stone Rd
Suite 300
Centreville, VA 20120-1667 - Phone
- (703) 715-6077
- Fax
- (703) 631-6982
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002921 | VA | Primary |
Addresses
Primary practice location
5675 Stone Rd
Suite 300
Centreville, VA 20120-1667
Mailing address
15141 Olddale Road
Centreville, VA 20120-1409
Phone (703) 631-6982
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7874579 | Other | VA | AETNA BEHAVIORAL HEALTH |
| K016-0001 | Other | VA | BLUECROSS BLUESHIELD |
| 144126 | Other | VA | ANTHEM BEHAVIORAL HEALTH |
| 222672 | Other | VA | KAISER PERMANENTE BEHAVIO |
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 |
|---|---|---|---|
| 0701002921 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275627861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15141 OLDDALE ROAD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201409",
"telephone_number": "703-631-6982",
"fax_number": "703-631-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 STONE RD",
"address_2": "SUITE 300",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201667",
"telephone_number": "703-715-6077",
"fax_number": "703-631-6982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURSH",
"first_name": "MARGUERITE",
"middle_name": "COPE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7874579",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "K016-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL HEALTH",
"identifier": "144126",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE BEHAVIO",
"identifier": "222672",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.