Active NPI
Pouneh Zeraat, LPC, CSAC
- Professional Counselor
- Fairfax, VA
National Provider Identifier
1376267427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010337
- Practice address
- 8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512 - Phone
- (703) 324-8400
- NPI assigned
- Oct 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102783 | VA | |
| Professional Counselor | 101YP2500X | 0701010337 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Mailing address
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | address |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710102783 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701010337 | VA | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1376267427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-324-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAAT",
"first_name": "POUNEH",
"credential": "LPC, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710102783",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010337",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "address",
"affiliation": "N",
"address_1": "10303 Appalachian Cir Apt 203",
"city": "Oakton",
"state": "VA",
"country_code": "US",
"postal_code": "221242768",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.