Individual provider Active NPI

Teresa Margaret Talierco, MA,LPC

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1275896961
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002223 Issued in VA
Practice address
8550 Arlington Blvd Ste 310
Fairfax, VA 22031-4620
Phone
(703) 300-4434
Fax
(703) 533-8098
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701002223 VA
Professional Counselor 101YP2500X 0701002223 VA Primary
Marriage & Family Therapist 106H00000X 0701002223 VA

Addresses

Primary practice location

8550 Arlington Blvd Ste 310
Fairfax, VA 22031-4620

Mailing address

8550 Arlington Blvd Ste 310
Fairfax, VA 22031-4620
Phone (703) 300-4434

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701002223VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1275896961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD STE 310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314620",
            "telephone_number": "703-300-4434",
            "fax_number": "703-533-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD STE 310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314620",
            "telephone_number": "703-300-4434",
            "fax_number": "703-533-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIERCO",
        "first_name": "TERESA",
        "middle_name": "MARGARET",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002223",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002223",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0701002223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.