Active NPI
Mary Hunnicutt
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1356828560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007752
- Practice address
- 4379 Ridgewood Center Dr
Woodbridge, VA 22192-8322 - Phone
- (703) 680-7950
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007752 | VA | Primary |
Addresses
Primary practice location
4379 Ridgewood Center Dr
Woodbridge, VA 22192-8322
Mailing address
4379 Ridgewood Center Dr
Woodbridge, VA 22192-8322
Phone (703) 680-7950
Other names 1
- Mary Hunnicutt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007752 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1356828560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4379 RIDGEWOOD CENTER DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928322",
"telephone_number": "703-680-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4379 RIDGEWOOD CENTER DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928322",
"telephone_number": "703-680-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNNICUTT",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "HUNNICUTT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.