Individual provider Active NPI

Janine M Murphy-Neilson, LPC

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1366434169
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003483 Issued in VA
Practice address
11244 Waples Mill Rd
Suite D-1
Fairfax, VA 22030-6040
Phone
(703) 596-4205
Fax
(703) 476-7979
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003483 VA Primary

Addresses

Primary practice location

11244 Waples Mill Rd
Suite D-1
Fairfax, VA 22030-6040

Mailing address

11244 Waples Mill Rd
Suite D-1
Fairfax, VA 22030-6040
Phone (703) 596-4205

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

LicenseStateTypeSpecialty
0701003483VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1366434169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE D-1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-596-4205",
            "fax_number": "703-476-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE D-1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-596-4205",
            "fax_number": "703-476-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY-NEILSON",
        "first_name": "JANINE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.