Individual provider Active NPI

Brandon Hoffman

  • Professional Counselor
  • Reston, VA
National Provider Identifier
1376154245
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009778 Issued in VA
Practice address
1850 Cameron Glen Dr Ste 600
Reston, VA 20190-3343
Phone
(703) 481-4100
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0701009778 VA Primary

Addresses

Primary practice location

1850 Cameron Glen Dr Ste 600
Reston, VA 20190-3343

Mailing address

1850 Cameron Glen Dr Ste 600
Reston, VA 20190-3343
Phone (703) 481-4100

Other practice location 1

206 S East St
Culpeper, VA 22701-3104
Phone (540) 829-6685 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220000910 DC Practitioner - Mental Health Counselor 3971953795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel L Price Psydpc CurrentSince Aug 1, 2020 Accepting new patients
Fairfax County, Virginia CurrentSince Jan 1, 2024 Accepting new patients

Locations

206 S East St
Culpeper, VA 22701
Phone (540) 829-6685

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

1850 Cameron Glen Dr
Ste 600
Reston, VA 20190
Phone (703) 481-4100

1850 Cameron Glen Dr
Ste 500
Reston, VA 20190
Phone (703) 481-4004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376154245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CAMERON GLEN DR STE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903343",
            "telephone_number": "703-481-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CAMERON GLEN DR STE 600",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903343",
            "telephone_number": "703-481-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S East St",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013104",
            "country_code": "US",
            "telephone_number": "540-829-6685 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.