Individual provider Active NPI

Heather L Wilcox, LMFT

  • Marriage & Family Therapist
  • Arlington, VA
National Provider Identifier
1316084981
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001425 Issued in VA
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

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240110000168 DC Practitioner - Marriage and Family Therapist 9133570567 Reassigns benefits to 1 organization
I20240117000276 MD Practitioner - Marriage and Family Therapist 9133570567 Reassigns benefits to 1 organization
I20240328000103 VA Practitioner - Marriage and Family Therapist 9133570567 Reassigns benefits to 1 organization

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
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

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

LicenseStateTypeSpecialty
IMF 50679CAMDMarriage & Family Therapist
0717001425VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Jan 1, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.