Individual provider Active NPI

Gary Lupton, LPC, LMFT, LSATP

  • Marriage & Family Therapist
  • Stafford, VA
National Provider Identifier
1366462970
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000355 Issued in VA
Practice address
385 Garrisonville Rd.
Stafford, VA 22554
Phone
(540) 657-1228
Fax
(540) 657-1999
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

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
0718000106VAMDAddiction (Substance Use Disorder) Counselor
0701002601VAMDMental Health Counselor
0717000355VAMDMarriage & Family Therapist

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717000355 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000106 VA
Mental Health Counselor 101YM0800X 0701002601 VA

Addresses

NPPES NPI Registry

Primary practice location

385 Garrisonville Rd.
Stafford, VA 22554

Mailing address

11 Goose Creek Cir
Fredericksburg, VA 22406-8430
Phone (703) 627-0225

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
54-0645-5MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2019.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1366462970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GOOSE CREEK CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224068430",
            "telephone_number": "703-627-0225",
            "fax_number": "703-657-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD.",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-657-1228",
            "fax_number": "540-657-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPTON",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT, LSATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000355",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000106",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54-0645-5",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.