Loudoun Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810005246 Issued in VA

Legal business name

LOUDOUN PSYCHOLOGICAL SERVICES, LLC

Practice address

217 S King St
Leesburg, VA 20175-2905

Phone

(703) 297-4368

Fax

(571) 512-7955

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric Zelsdorf, PSYDNPI 1255765293

Title

Chief Clinical Officer

Phone

(703) 297-4368

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• Loudoun Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Zelsdorf, PSYD

  • Clinical Psychologist
  • Leesburg, VA
  • NPI 1255765293
  Medicare reassignment NPD Authorized official
• Najwa Mohamed, PSYD

  • Clinical Psychologist
  • Leesburg, VA
  • NPI 1457808818
  Medicare reassignment NPD
• Donald Jaskulske

  • Clinical Psychologist
  • Northridge, CA
  • NPI 1679600266

  VA

  Medicare reassignment NPD
• Courtney Valerie Ohlmann, M.A.

  • Counselor
  • Leesburg, VA
  • NPI 1699376475
  NPD
• Kirsten Snyder

  • Counselor
  • Leesburg, VA
  • NPI 1235804386
  NPD
• Chelsea Ann Ahearn-Feketa

  • Counselor
  • Sterling, VA
  • NPI 1023758125
  NPD (past)
• Michael Arthur

  • Counseling Psychologist
  • Sterling, VA
  • NPI 1124598115
  NPD (past)
• Nathara Bailey

  • Mental Health Counselor
  • Vienna, VA
  • NPI 1588548739
  NPD (past)
• Melody Ege, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1194327320
  NPD (past)
• Holly Ellis

  • Clinical Psychologist
  • Sterling, VA
  • NPI 1912555095
  NPD (past)
• Alex J Gibson, PSYD

  • Clinical Psychologist
  • Sterling, VA
  • NPI 1902353360
  NPD (past)
• Serena Issa, B.S.

  • Counselor
  • Sterling, VA
  • NPI 1316669807
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1427422385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905",
            "telephone_number": "703-297-4368",
            "fax_number": "571-512-7955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Carpenter Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201644468",
            "country_code": "US",
            "telephone_number": "703-297-4368",
            "fax_number": "571-512-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUDOUN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "ZELSDORF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "703-297-4368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679600266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601050065",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600961320",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104228121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417312257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601076584",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601119488",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275810764",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902353360",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194910562",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457808818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christopher A Loving, RPH
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• Raymond Francis Lower, D.O.
• Anne Lowery, LPTA
• Gregory Lowery, CPHT, PHARMACY TECH.

• Psychologist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.

Verify at the official NPI Registry.