Shahrzad Poorshaghaghi, E.D.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002934 Issued in VA

Practice address

2235 Cedar LN Ste 102
Vienna, VA 22182-5247

Phone

(703) 556-4888

Fax

(703) 556-7774

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

George Washington University School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pimmit Counseling & Wellness Clinic PLLC

  • Professional Counselor
  • Vienna, VA
  • NPI 1740386762

  DC

  Medicare reassignment NPD Authorized official
• Pimmit Counseling & Wellness Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, VA
  • NPI 1407346695
  NPD (past) Authorized official
• Pimmit Counseling & Wellness Clinic PLLC

  • Mental Health Counselor
  • Vienna, VA
  • NPI 1508107681
  NPD (past) Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1437171337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN STE 102",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-556-4888",
            "fax_number": "703-556-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN STE 102",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-556-4888",
            "fax_number": "703-556-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORSHAGHAGHI",
        "first_name": "SHAHRZAD",
        "name_prefix": "Dr.",
        "credential": "E.D.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005411165",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krupa B Playforth, M.D.
• Eva Marie Pleta, DDS
• Tavia Plummer
• Pna Medical Services
• Cecilia Pogue
• Madelyn Rose Pope
• Kris K Popli, D.D.S.
• Kiana Nifarette Portillo
• Stephanie Gordon Posner, PSY.D.
• Daniel Poth, OD

• Professional Counselor in Vienna, VA
• Providers in Vienna, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.