Beverly McNairy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

10304 Eaton PL Ste 100-123
Fairfax, VA 22030-2238

Phone

(571) 575-3767

Fax

(877) 535-1222

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 360 Innovative Therapy LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fairfax, VA
  • NPI 1770178816
  NPD Authorized official

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1386377653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100-123",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302238",
            "telephone_number": "571-575-3767",
            "fax_number": "877-535-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100-123",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302238",
            "telephone_number": "571-575-3767",
            "fax_number": "877-535-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5290 Shawnee Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223122381",
            "country_code": "US",
            "telephone_number": "571-575-3767",
            "fax_number": "877-535-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAIRY",
        "first_name": "BEVERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Driggs McLeod, LICSW
• Vladimir Bruce McMahan
• Mark R McMahon, MD
• Patrice Mary McManus, CCC/SLP
• Janice McMillan, M.D.
• Sandra Nelson McNaughton, NP
• Cassidy Marie McNeely
• Deana Letts McNeely, MSPT
• Sarah McNichols, LCSW
• Barry Dale McNinch, MS COUNSELING

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; 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.