Individual provider Active NPI

Laura Lee Romine, MA

  • Mental Health Counselor
  • Manassas, VA
National Provider Identifier
1396222030
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704007017 Issued in VA
Practice address
10432 Balls Ford Rd
Manassas, VA 20109-2514
Phone
(703) 629-9116
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 0704007017 VA Primary

Addresses

Primary practice location

10432 Balls Ford Rd
Manassas, VA 20109-2514

Mailing address

10432 Balls Ford Rd
Manassas, VA 20109-2514
Phone (703) 881-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20251212001935 AL Practitioner - Mental Health Counselor 4789178187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monarch Consulting IncGroup PAC ID 7113059668, 4 clinicians

Practice addresses (Care Compare)

111 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 534-8161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0704007017VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Consulting Inc CurrentSince Nov 14, 2025 Accepting new patients

Locations

111 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 534-8161

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1396222030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092514",
            "telephone_number": "703-881-7711",
            "fax_number": "703-881-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092514",
            "telephone_number": "703-629-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINE",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704007017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.