Audrey Denkler Tallon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701012967 Issued in VA

Practice address

3170 Ellenwood Dr
Fairfax, VA 22031-2000

Phone

(703) 261-9559

NPI assigned

Jan 12, 2022

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1417608480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 ELLENWOOD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312000",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 ELLENWOOD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312000",
            "telephone_number": "703-261-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 N Glebe Rd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015792",
            "country_code": "US",
            "telephone_number": "703-831-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLON",
        "first_name": "AUDREY",
        "middle_name": "DENKLER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012967",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.denkler@lifestance.com",
            "affiliation": "Y",
            "endpointDescription": "Organization Email",
            "affiliationName": "Granato Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1005 N Glebe Rd Ste 525",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222015792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey@understood-therapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3170 Ellenwood Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Joseph Taibi, PH.D.
• Noor Takieddin
• Elizabeth Talian, OTD, OTR/L
• Teresa Margaret Talierco, MA,LPC
• Noelle Marie Larson Tallman
• Claudia Talton
• Tammy Jones MD PLLC
• Jeremias C Tan, M.D.
• Mala K. Tandon, PSY.D
• Mark P. Tanenbaum, M.D.

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.