Active NPI
Damara Joi Kippins-Graham
- Counselor
- Sterling, VA
National Provider Identifier
1295378602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 107 Carpenter Dr Ste 110
Sterling, VA 20164-4468 - Phone
- (703) 297-4368
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
107 Carpenter Dr Ste 110
Sterling, VA 20164-4468
Mailing address
107 Carpenter Dr Ste 110
Sterling, VA 20164-4468
Phone (703) 297-4368
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Psychological Services, LLC | Past | Accepting new patients |
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.
-
- Psychologist
- Leesburg, VA
- NPI 1427422385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1295378602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CARPENTER DR STE 110",
"city": "STERLING",
"state": "VA",
"postal_code": "201644468",
"telephone_number": "703-297-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CARPENTER DR STE 110",
"city": "STERLING",
"state": "VA",
"postal_code": "201644468",
"telephone_number": "703-297-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPINS-GRAHAM",
"first_name": "DAMARA",
"middle_name": "JOI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.