Individual provider Active NPI

Patricia Crosby, MED., LPC.

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1386097517
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006655 Issued in VA
Practice address
12721 Darby Brook CT Ste 102
Woodbridge, VA 22192-2408
Phone
(703) 497-1771
Fax
(703) 497-1225
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006655 VA Primary

Addresses

Primary practice location

12721 Darby Brook CT Ste 102
Woodbridge, VA 22192-2408

Mailing address

4559 Perch Branch Way
Woodbridge, VA 22193-1897
Phone (703) 590-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240110004449 VA Practitioner - Other (Non-Physician) 4284085523 Reassigns benefits to 1 organization
I20240116000028 VA Practitioner - Mental Health Counselor 4284085523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17739 Main St
Dumfries, VA 22026-3256
Phone (703) 680-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Prince William Family Counseling, P.C. Mental Health PastSince Mar 6, 2013 Accepting new patients
Woodbridge Therapy Group LLC Mental Health Past Accepting new patients

Locations

17739 Main St
Ste 130
Dumfries, VA 22026
Phone (703) 680-7950

9705 Liberia Ave
Ste 201
Manassas, VA 20110
Phone (703) 519-1725

3350 Commission Ct
Woodbridge, VA 22192
Phone (703) 680-7950

Interoperability endpoints

  • Direct secure messaging: patricia.crosby@gpwchc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1386097517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4559 PERCH BRANCH WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931897",
            "telephone_number": "703-590-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 DARBY BROOK CT STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922408",
            "telephone_number": "703-497-1771",
            "fax_number": "703-497-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MED., LPC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.