Active NPI
Tara Danielle Soligan, LPC, MAC, NCC
- Professional Counselor
- Fairfax, VA
National Provider Identifier
1457831364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005769
- Practice address
- 4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121 - Phone
- (571) 354-0113
- NPI assigned
- Aug 20, 2018
- 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 | 0701005769 | VA | Primary |
Addresses
Primary practice location
4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121
Mailing address
3321 Mantua Dr
Fairfax, VA 22031-2712
Phone (571) 354-0113
Other names 1
- Miss Tara Danielle Neigenfind
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 14, 2024 through Aug 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005769 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1457831364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 MANTUA DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312712",
"telephone_number": "571-354-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4023 CHAIN BRIDGE RD STE 7",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304121",
"telephone_number": "571-354-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIGAN",
"first_name": "TARA",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "LPC, MAC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "NEIGENFIND",
"middle_name": "DANIELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.