Active NPI
Charlene Ann Bartlett, L.P.C
- Professional Counselor
- Fairfax, VA
National Provider Identifier
1427110907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003682
- Practice address
- 10520 Judicial Dr
Fairfax, VA 22030-5115 - Phone
- (703) 246-4335
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003682 | VA | Primary |
Addresses
Primary practice location
10520 Judicial Dr
Fairfax, VA 22030-5115
Mailing address
6011 Ricketts Walk
Alexandria, VA 22312-2770
Phone (703) 916-8742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003682 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427110907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 RICKETTS WALK",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122770",
"telephone_number": "703-916-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 JUDICIAL DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305115",
"telephone_number": "703-246-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "CHARLENE",
"middle_name": "ANN",
"credential": "L.P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.