Danielle Ann Olmedo, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012310 Issued in VA

Practice address

10121 Wood Green Way
Burke, VA 22015-2714

Phone

(571) 527-7333

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Everwhen Therapy, LLC

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1619489424

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1326741042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 WOOD GREEN WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152714",
            "telephone_number": "571-527-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 WOOD GREEN WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152714",
            "telephone_number": "571-527-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9028 Prince William St Ste E",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105664",
            "country_code": "US",
            "telephone_number": "703-750-7852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5417C Backlick Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221513915",
            "country_code": "US",
            "telephone_number": "703-750-7852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Chain Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303935",
            "country_code": "US",
            "telephone_number": "571-234-9184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMEDO",
        "first_name": "DANIELLE",
        "middle_name": "ANN",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Burke, VA
• Providers in Burke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.