Active NPI
Heather L Wilcox, LMFT
- Marriage & Family Therapist
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001425
- Practice address
- 801 N Quincy St Ste 601
Arlington, VA 22203-1729 - Phone
- (703) 812-4642
- Fax
- (443) 279-0738
- NPI assigned
- Jan 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 50679 | CA | |
| Marriage & Family Therapist | 106H00000X | 0717001425 | VA | Primary |
Addresses
Primary practice location
801 N Quincy St Ste 601
Arlington, VA 22203-1729
Mailing address
801 N Quincy St Ste 601
Arlington, VA 22203-1729
Phone (703) 812-4642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642
801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408
9891 Broken Land Pkwy
Suite 210
Columbia, MD 21046-3001
Phone (410) 823-6408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 50679 | CA | MD | Marriage & Family Therapist |
| 0717001425 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Associates of Maryland LLC | Current | Accepting new patients | |
| Neta, Inc. | Past | Accepting new patients |
Locations
4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799
9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868
2331 York Rd
Ste 100
Timonium, MD 21093
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067
630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155
2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764
8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366
7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852
Interoperability endpoints
- bloomhealthcenters.heatherwilcox@131200.advancedmd-direct.com
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.
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
DC, VA
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1316084981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N QUINCY ST STE 601",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031729",
"telephone_number": "703-812-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N QUINCY ST STE 601",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031729",
"telephone_number": "703-812-4642",
"fax_number": "443-279-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "HEATHER",
"middle_name": "L",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 50679",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.