Active NPI
Virginia Lee Madden, LCPC
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1356900476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704014643
- Practice address
- 6408 Grovedale Dr Ste 204
Alexandria, VA 22310-2596 - Phone
- (571) 543-3979
- NPI assigned
- Jun 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC12710 | MD | |
| Mental Health Counselor | 101YM0800X | 0704014643 | VA | Primary |
Addresses
Primary practice location
6408 Grovedale Dr Ste 204
Alexandria, VA 22310-2596
Mailing address
6408 Grovedale Dr Ste 204
Alexandria, VA 22310-2596
Phone (704) 689-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12710 | MD | MD | Mental Health Counselor |
| 0704014643 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1356900476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6408 GROVEDALE DR STE 204",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102596",
"telephone_number": "704-689-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 GROVEDALE DR STE 204",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102596",
"telephone_number": "571-543-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "VIRGINIA",
"middle_name": "LEE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC12710",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704014643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.