Active NPI
Craig R Dupuis, LPC, LMFT
- Mental Health Counselor
- Manassas, VA
National Provider Identifier
1285643270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701002496
- Practice address
- 8700 Centreville Road
Suite 410
Manassas, VA 20110 - Phone
- (703) 393-7905
- Fax
- (703) 393-9227
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701002496 | VA | Primary |
Addresses
Primary practice location
8700 Centreville Road
Suite 410
Manassas, VA 20110
Mailing address
8700 Centreville Road
Suite 410
Manassas, VA 20110
Phone (703) 393-7905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3930 Pender Dr
Suite 240
Fairfax, VA 22030-0986
Phone (703) 865-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002496 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsych Wellness Center, PC | Current | Accepting new patients |
Locations
3930 Pender Dr
Ste 350
Fairfax, VA 22030
Phone (703) 865-6565
3930 Pender Dr
Ste 240
Fairfax, VA 22030
Phone (703) 865-8686
Organizations & group practices 1
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": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285643270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 CENTREVILLE ROAD",
"address_2": "SUITE 410",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20110",
"telephone_number": "703-393-7905",
"fax_number": "703-393-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 CENTREVILLE ROAD",
"address_2": "SUITE 410",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20110",
"telephone_number": "703-393-7905",
"fax_number": "703-393-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "CRAIG",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701002496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.