Active NPI
County of Loudoun, Virginia
Doing business as Loudoun County Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 143
- Legal business name
- COUNTY OF LOUDOUN, VIRGINIA
- Doing business as
- Loudoun County Community Services Board
- Practice address
- 102 Heritage Way NE
Suite 310
Leesburg, VA 20176-4544 - Phone
- (703) 737-8677
- Fax
- (703) 737-8676
- NPI assigned
- Aug 30, 2006
- Last updated
- Jan 26, 2017
- Organization subpart
- Yes
- Parent organization
- COUNTY OF LOUDOUN, VIRGINIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret Graham
- Title
- Agency Director
- Phone
- (703) 771-5406
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 143 | VA | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 143 | VA | |
| Community/Behavioral Health Agency | 251S00000X | 143 | VA | |
| Early Intervention Provider Agency | 252Y00000X | 143 | VA | |
| Developmental Disabilities Clinic/Center | 261QD1600X | 143 | VA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 143 | VA | Primary |
| Rehabilitation Clinic/Center | 261QR0400X | 143 | VA | |
| Mental Illness Intermediate Care Facility | 310500000X | 143 | VA | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 143 | VA | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 143 | VA | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 143 | VA |
Addresses
Primary practice location
102 Heritage Way NE
Suite 310
Leesburg, VA 20176-4544
Mailing address
906 Trailview Blvd SE
Suite C
Leesburg, VA 20175-4415
Phone (703) 737-8677
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945140 | Medicaid | VA | |
| 187217 | Other | VA | ANTHEM SLP |
| LCCB | Other | VA | AMERIGROUP - VIRGINIA |
| 004980433 | Medicaid | VA | |
| 187219 | Other | VA | ANTHEM OT |
| 187220 | Other | VA | ANTHEM PT |
| 008743673 | Medicaid | VA |
Other names 1
- Loudoun County Community Services Board
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000959 | VA | Part B Supplier - Clinic/Group Practice | 8426039959 |
Receives reassigned benefits from 52 practitioners 1 other NPI on this enrollment Practice locations: Ashburn, VA; Leesburg, VA; Sterling, VA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Loudoun County Department of Fire, Rescue and Emergency Management
- Land Ambulance
- Leesburg, VA
- NPI 1508290297
8426039959
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Loudoun County Health Department
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1588353569
O20040528000959
National Provider Directory
National Provider Directory- Tax ID family
- County of Loudoun Virginia
- Part of
- County of Loudoun Virginia
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Loudoun County Department of Fire, Rescue and Emergency Management
- Land Ambulance
- Leesburg, VA
- NPI 1508290297
-
dba Loudoun County Health Department Dental Clinic
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1134811193
-
dba Loudoun County Health Department
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1588353569
Locations
102 Heritage Way NE
Ste 310
Leesburg, VA 20176
Phone (703) 737-8677
906 Trailview Blvd SE
Leesburg, VA 20175
Phone (703) 727-1640
21641 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (571) 420-2202
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Loudoun County Department of Fire, Rescue and Emergency Management
- Land Ambulance
- Leesburg, VA
- NPI 1508290297
Practitioners & affiliated clinicians
Practitioners 73
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Leesburg, VA
- NPI 1184100893
-
- Psychiatric/Mental Health Nurse Practitioner
- McLean, VA
- NPI 1376119321
-
- Clinical Social Worker
- Purcellville, VA
- NPI 1396590329
-
- Clinical Social Worker
- Sterling, VA
- NPI 1003016635
-
- Psychiatry Physician
- Christiansburg, VA
- NPI 1205893054
-
- Professional Counselor
- Leesburg, VA
- NPI 1275294134
-
- Professional Counselor
- Leesburg, VA
- NPI 1578851200
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Reston, VA
- NPI 1467620047
-
- Clinical Social Worker
- Leesburg, VA
- NPI 1508357575
-
- Mental Health Counselor
- Sterling, VA
- NPI 1619597648
-
- Mental Health Counselor
- Sterling, VA
- NPI 1104332782
-
- Counselor
- Leesburg, VA
- NPI 1699211367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1386753291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 TRAILVIEW BLVD SE",
"address_2": "SUITE C",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754415",
"telephone_number": "703-737-8677",
"fax_number": "703-737-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HERITAGE WAY NE",
"address_2": "SUITE 310",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764544",
"telephone_number": "703-737-8677",
"fax_number": "703-737-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LOUDOUN, VIRGINIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF LOUDOUN, VIRGINIA",
"enumeration_date": "2006-08-30",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "703-771-5406",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "VA",
"license": "143",
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "VA",
"license": "143",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "VA",
"license": "143",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945140",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM SLP",
"identifier": "187217",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP - VIRGINIA",
"identifier": "LCCB",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004980433",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM OT",
"identifier": "187219",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT",
"identifier": "187220",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008743673",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Loudoun County Community Services Board",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesburg, VA
- Lindsay Coulter, DPT
- Countryside Ambulatory Surg Center
- Countryside Orthopaedics PC
- County of Loudoun Virginia (Loudoun County Department of Fire, Rescue and Emergency Management)
- County of Loudoun, Virginia (Loudoun County Health Department Dental Clinic)
- County of Loudoun, Virginia (Loudoun County Health Department)
- Cozy Hands Caregivers LLC
- Anne Marie Craig, FNP
- Benjamin Robert Crawford, D.O.
- CRC Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.